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Entrant (Entrant´s without ASN license number´s will not be published on all official paperwork)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 *

 

Address *

 

Post code *

 

Town / Country *

 

Organization or Personal ID no. *

 

required fields *

 

Team

 

 

 

Name

 

(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 *

 

meter

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

quantity

 

 

 

 

 

 

 

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

required fields *

 

 

 

 

 

 

 

Contact person for team/driver (Notice! Person responsible for all communications relating to the series promoter and all events)

Name *

 

E-mail *

 

Mobile phone *

 

 

 

required fields *

 

 

 

I HAVE READ AND AGREE TO BE BOUND TO THE PRIVACY POLICY ALL SPORTING, COMMERCIAL AND PADDOCK REGULATIONS *

Reglemente STCC 2019

required fields *