Driver
Start no. wish
First name *
Last name *
Address *
Post code *
Town *
Country *
E-mail *
Phone no. *
Mobile phone *
Website
License class + no. *
Personal ID no. *
Club (on license) *
Nationality *
Car make / model *
required fields *
Transponder
I have a own transponder *
with no. *
I have no own transponder *
For more information or order contact Meik Wagner +46 70-428 9936 or info@mwraceconsulting.com
* one transponder option has to be filled in
Entrant (Entrant´s without ASN license number´s will not be published on all official paperwork)
Name
ASN License no.
Championship / Events
Complete series
Knutstorp 3-4 may
Anderstorp 1-2 june
Skellefteċ 14-15 june
Falkenberg 13-14 july
Karlskoga 17-18 august
Jyllandsringen 7-8 september
Mantorp Park 4-5 october
Championship fee for complete series STCC SEK 120 000:- + 6% tax / (incl. Unisorbmatta and start number fee)
Notification to the individual competitions are accepted on the basis of space.
Championship fee will be invoiced by STCC AB and must be paid latestly 15th of march 2019
Enter the invoice recipients
Name *
Town / Country *
Organization or Personal ID no. *
Team
(Notice! Team name will be shown during the TV broadcast)
Extra team pass
Order of team pass (SEK 1 960:- + 6% tax / per pass) max. 10 passes per car/driver. (Incl. 15 passes)
Paddock informations
Total surface for service vehicle + service tent
width *
meter
length *
Additional informations
(like sharing paddock space with other drivers, etc.)
Estimated Fuel per event in litres *
(estimate need of fuel per event per driver)
Extra power electricity (ORDER)
400 V 16 A
quantity
400 V 32 A
Power electricity included in the entry fee is 1 pcs. 400 V 16 A for all classes per competitor
Power electricity which is not be ordered in this entry form can not be guaranteed
Contact person for team/driver (Notice! Person responsible for all communications relating to the series promoter and all events)
I HAVE READ AND AGREE TO BE BOUND TO THE PRIVACY POLICY ALL SPORTING, COMMERCIAL AND PADDOCK REGULATIONS *