Coppa Franco Mazzotti
Registration

Personal data

Driver

First name Last name Gender Address Number Postal code City Country Date of birth ECG Medical Report

ECG Medical Report (max 5mb)

E-mail Phone number

Co-Driver

First name Last name Gender Address Number Postal code City Country Date of birth ECG Medical Report

ECG Medical Report (max 5mb)

E-mail Phone number

Invoicing data

Same as DriverSame as Co-driverOther

Company First name Last name Address Number Postal code City Country E-mail Phone number VAT Number

Vehicle data

Manufacturer Model Year of make Registration plate Nr.

FIVA Id available?

FIVA Id (max 5mb)

Valid Insurance available?

Insurance certificate (max 5mb)

Car Registration Certificate (max 5mb)

Hotel room options

Double (1)Twin (1/2)Single (3)

¹ included in package

² two single bed in one room

³ additional cost of € 950.-

Diets

Driver

Alternative diets (vegan, vegetarian, etc.) Food intollerances

Co-Driver

Alternative diets (vegan, vegetarian, etc.) Food intollerances

Name sticker

(this sticker will be fitted to the car during the rally)

Driver

Name on sticker Flag on sticker

Co-Driver

Name on sticker Flag on sticker

Clothing size

Driver

Clothing size

Co-Driver

Clothing size

Special requests

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Coppa Franco Mazzotti
Registration

Personal data

Driver

Co-Driver

Invoicing data

Vehicle data

Hotel room options

Diets

Driver

Co-Driver

Name sticker

Driver

Co-Driver

Clothing size

Driver

Co-Driver

Special requests

Join the Signature Series

Join our newsletter

Coppa Franco Mazzotti Registration

Personal data

Driver

Co-Driver

Invoicing data

Vehicle data

Hotel room options

Diets

Driver

Co-Driver

Name sticker

Driver

Co-Driver

Clothing size

Driver

Co-Driver

Special requests

Coppa Franco Mazzotti
Registration