subject_line
YPRES HISTORIC REGULARITY
ENTRY FORM
YPRES HISTORIC REGULARITY
INSCHRIJVINGSFORMULIER
YPRES HISTORIC REGULARITY
DEMANDE D'ENGAGEMENT
DRIVER
PILOOT
PILOTE
Last name
Familienaam
Nom de famille
*
First name
Voornaam
Prénom
*
Address
Adres
Adresse
*
Number
Nummer
Numéro
*
Box
Bus
Boîte
ZIP code
Postcode
Code postal
*
Town
Stad
Ville
*
Country
Land
Pays
*
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Mobile number (used during event - incl country prefix)
Mobiel nummer (in gebruik tijdens evenement - incl land prefix)
Numéro de portable (utilisé pendant l'épreuve - prefix pays incl)
*
Email
E-mail
Email
*
Date of birth
Geboortedatum
Date de naissance
*
+
Sex
Geslacht
Sexe
*
Female
Male
Clothing size
Kledijmaat
Taille des vêtements
*
S
M
L
XL
XXL
Blood type
Bloedgroep
Groupe sanguin
*
ID card number
Kaartnummer identiteitskaart
Numéro de carte d'identité
*
Driving license
Rijbewijsnummer
Numéro de permis de conduire
*
CO-DRIVER
NAVIGATOR
CO-PILOTE
Last name
Familienaam
Nom de famille
*
First name
Voornaam
Prénom
*
Address
Adres
Adresse
*
Number
Nummer
Numéro
*
Box
Bus
Boîte
ZIP code
Postcode
Code postal
*
Town
Stad
Ville
*
Country
Land
Pays
*
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Mobile number (used during event - incl country prefix)
Mobiel nummer (in gebruik tijdens evenement - incl land prefix)
Numéro de portable (utilisé pendant l'épreuve - prefix pays incl)
*
Email
E-mail
Email
*
Date of birth
Geboortedatum
Date de naissance
*
+
Sex
Geslacht
Sexe
*
Female
Male
Clothing size
Kledijmaat
Taille des vêtements
*
S
M
L
XL
XXL
Blood type
Bloedgroep
Groupe sanguin
*
ID card number
Kaartnummer identiteitskaart
Numéro de carte d'identité
*
Driving license
Rijbewijsnummer
Numéro de permis de conduire
*
CAR
WAGEN
VOITURE
Mark
Merk
Marque
*
Type
Model
Modèle
*
Building year
Bouwjaar
Année de construction
*
Cilinderinhoud (cc)
Engine capacity (cc)
Cylindrée (cc)
*
License plate
Nummerplaat
Plaque d'immatriculation
*
PALMARES - LANGUAGE
PALMARES - TAAL
PALMARÈS - LANGUE
History/palmares of the car and/or crew - previous Ypres Rally participations
(year, car, classification, anecdote)
Historie/palmares van de wagen en/of van het team - voorgaande Ypres Rally deelnames
(jaar, wagen, rangschikking, anekdote)
Historique/palmarès de la voiture et/ou de l'équipage - précédent participations Ypres Rally
(année, voiture, classification, anecdote)
*
Language reference briefing
Taalvoorkeur briefing
Préférence de langue briefing
*
Dutch (Nederlands / Néerlandais)
English/Français
LICENSES
VERGUNNINGEN
LICENCES
driver
piloot
pilote
I need a day license
Ik had een daglicentie gewenst
Je voudrais démandé une licence de jour
*
Yes
No
License number
Licentienummer
Numéro de licence
*
Issued by
Uitgegeven door
Délivré par
*
AUTOMOBILE CLUB ALBANIA
AKK - MOTORSPORT
ASOCIACION AUTOMOVILISTICA DE TOURING Y DEPORTES DE PANAMA
ASOCIACION HONDURENA DE AUTOMOVILISMO DEPORTIVO
AUTO MOTOR SPORT AND ROAD SAFETY FEDERATION
AUTO SPORT D'HAITI
AUTO SPORT FEDERATION OF SLOVENIA - AŠ 2005
AUTO SPORT SUISSE SARL
AUTOMOBIL CLUB D'ANDORRA
AUTOMOBIL CLUB DES FURSTENTUMS LIECHTENSTEIN
AUTOMOBIL CLUBUL ROMAN
AUTOMOBILE & TOURING CLUB OF LIBYA
AUTOMOBILE AND TOURING CLUB FOR UNITED ARAB EMIRATES
AUTOMOBILE AND TOURING CLUB OF EGYPT
AUTOMOBILE AND TOURING CLUB OF GREECE
AUTOMOBILE AND TOURING CLUB OF ISRAEL
AUTOMOBILE ASSOCIATION OF BANGLADESH
AUTOMOBILE ASSOCIATION OF TANZANIA
AUTOMOBILE ASSOCIATION PHILIPPINES
AUTOMOBILE CLUB DE MONACO
AUTOMOBILE CLUB D'ITALIA
AUTOMOBILE CLUB DU GABON
AUTOMOBILE CLUB DU LUXEMBOURG
AUTOMOBILE COMPETITION COMMITTEE FOR THE UNITED STATES FIA INC.
AUTOMOBILE ET TOURING CLUB DU LIBAN
AUTOMOBILE FEDERATION OF ARMENIA
AUTOMOBILE GENERAL ASSOCIATION MACAO-CHINA
AUTOMOBILE SPORTS CLUB OF NIGERIA
AUTO-MOTO ASSOCIATION OF MONTENEGRO
AUTO-MOTO ASSOCIATION OF SERBIA
AUTOMOTORSPORT FEDERATION OF REP. KAZAKHSTAN
AUTOMOVEL E TOURING CLUBE DE MOCAMBIQUE
AUTOMOVIL CLUB ARGENTINO
AUTOMOVIL CLUB BOLIVIANO
AUTOMOVIL CLUB DE COSTA RICA
AUTOMOVIL CLUB DE EL SALVADOR
AUTOMOVIL CLUB DE GUATEMALA
AUTOMOVIL CLUB DEL ECUADOR
AUTOMOVIL CLUB DEL URUGUAY
AUTORITE SPORTIVE NATIONALE DU CANADA
AVTOMOBILISTICKA FEDERACIJA NA MAKEDDONIJA
AZERBAIJAN AUTOMOBILE FEDERATION
BAHAMAS MOTOR SPORTS ASSOCIATION LTD
BAHRAIN MOTOR FEDERATION
BARBADOS MOTORING FEDERATION INC
BELIZE AUTOMOBILE CLUB
BOSNIA AND HERZEGOVINA AUTOMOBILE CLUB
BOTSWANA MOTOR SPORTS
CAMBODIA MOTORSPORTS FEDERATION
CEYLON MOTOR SPORTS CLUB
CHINESE TAIPEI MOTOR SPORTS ASSOCIATION
CLUB AUTOMOBILE DE RALLYE
CLUB AUTOMOBILE DU BURUNDI
CLUB AUTOMOVILISTICO DE NICARAGUA
CONFEDERACAO BRASILEIRA DE AUTOMOBILISMO
CONFEDERATION OF AUSTRALIAN MOTOR SPORT LTD
CROATIAN CAR & KARTING FEDERATION
CYPRUS AUTOMOBILE ASSOCIATION
DANSK AUTOMOBIL SPORTS UNION
DEUTSCHER MOTOR SPORT BUND E.V.
ESTONIAN AUTOSPORT UNION
ETHIOPIAN MOTOR ASSOCIATION
FEDERACAO PORTUGUESA DE AUTOMOBILISMO E KARTING
FEDERACION CHILENA DE AUTOMOVILISMO DEPORTIVO
FEDERACION DE AUTOMOVILISMO DE PUERTO RICO
FEDERACION DE AUTOMOVILISMO Y KARTISMO DE CUBA
FEDERACION DOMINICANA DE AUTOMOTOVILISMO INC.
FEDERATION ALGERIENNE DES SPORTS MECANIQUES
FEDERATION AUTOMOBILE DE LA REPUBLIQUE DEMOCRATIQUE DU CONGO
FEDERATION AUTOMOBILE D'UKRAINE
Federation Automobile Sport of Turkmenistan
FEDERATION DE L'AUTOMOBILE DE BELARUS
FEDERATION DU SPORT AUTOMOBILE DE MADAGASCAR
FEDERATION FRANCAISE DU SPORT AUTOMOBILE
FEDERATION IVOIRIENNE DU SPORT AUTOMOBILE
FEDERATION MAURITANIENNE DES SPORTS MECANIQUES
FEDERATION OF AUTO SPORT OF KOSOVO
FEDERATION OF AUTOMOBILE AND MOTORCYCLE SPORTS OF PEOPLE OF CHINA
FEDERATION OF MOTOR SPORTS CLUBS OF UGANDA
FEDERATION ROYALE MAROCAINE DE SPORT AUTOMOBILE
FEDERATION SENEGALAISE DE SPORT AUTOMOBILE ET MOTOCYCLISTE
FEDERAZIONE AUTO MOTORISTICA SAMMARINESE
GEORGIAN AUTOMOBILE SPORT FEDERATION
GUYANA MOTOR RACING AND SPORTS CLUB
HELLENIC MOTORSPORT FEDERATION
HONG KONG AUTOMOBILE ASSOCIATION
ICELANDIC MOTORSPORT ASSOCIATION
IKATAN MOTOR INDONESIA
JAMAICA MILLENNIUM MOTORING CLUB
JAPAN AUTOMOBILE FEDERATION
KENYA MOTOR SPORTS FEDERATION
KNAC NATIONALE AUTOSPORT FEDERATIE
KOREA AUTOMOBILE RACING ASSOCIATION
KUWAIT INTERNATIONAL AUTOMOBILE CLUB
LATVIJAS AUTOMOBILU FEDERACIJA
MALTA MOTORSPORT FEDERATION
MOTOR SPORTS ASSOCIATION
MOTORCYCLE AND AUTOMOBILE FEDERATION OF THE ISLAMIC REPUBLIC OF IRAN
MOTORSPORT ASSOCIATION OF PAKISTAN
MOTORSPORT NEW ZEALAND
MOTORSPORT SOUTH AFRICA
NAMIBIA MOTOR SPORT FEDERATION
NATIONAL AUTOMOBILE CLUB DE TUNISIE
NATIONAL AUTOMOBILSPORT FEDERATION OF HUNGARY
NATIONAL FEDERATION MOTOR RACING ERITREA
NEPAL AUTOMOBILES' ASSOCIATION
OMAN AUTOMOBILE ASSOCIATION
ORGANIZACION MEXICANA DEL DEPORTE AUTOMOVILISTICO INTERNACIONAL
ÖSTERREICHISCHER AUTOMOBIL- MOTORRAD - UND TOURING CLUB
PALESTINIAN MOTOR SPORT AND MOTORCYCLE FEDERATION
POLSKI ZWIAZEK MOTOROWY
QATAR MOTOR AND MOTORCYCLE FEDERATION
REAL FEDERACION ESPANOLA DE AUTOMOVILISMO
ROYAL AUTOMOBILE CLUB DE BELGIQUE
ROYAL AUTOMOBILE CLUB OF NORWAY
ROYAL IRISH AUTOMOBILE CLUB
RUSSIAN AUTOMOBILE FEDERATION
RWANDA AUTOMOBILE CLUB
SAUDI ARABIAN MOTOR FEDERATION
SINGAPORE MOTOR SPORTS ASSOCIATION
SLOVAK ASSOCIATION OF MOTOR SPORT
SUDANESE AUTOMOBILE AND TOURING CLUB
SVENSKA BILSPORTFORBUNDET
SYRIAN AUTOMOBILE CLUB
THE AUTOCLUB OF THE CZECH REPUBLIC
THE AUTOMOBILE ASSOCIATION OF MALAYSIA
THE FEDERATION OF MOTOR SPORTS CLUBS OF INDIA
THE LITHUANIAN AUTOMOBILE SPORT FEDERATION
THE ROYAL AUTOMOBILE ASSOCIATION OF THAILAND
THE ROYAL AUTOMOBILE CLUB OF JORDAN
TOURING Y AUTOMOVIL CLUB DE COLOMBIA
TOURING Y AUTOMOVIL CLUB DE VENEZUELA
TOURING Y AUTOMOVIL CLUB DEL PERU
TOURING Y AUTOMÓVIL CLUB PARAGUAYO
TRINIDAD AND TOBAGO AUTOMOBILE SPORTS ASSOCIATION
TURKISH AUTOMOBILE SPORTS FEDERATION
UNION DES AUTOMOBILISTES BULGARES
YEMEN CLUB FOR TOURING AND AUTOMOBILE
ZAMBIA MOTOR SPORT ASSOCIATION
ZIMBABWE MOTOR SPORTS FEDERATION
co-driver
navigator
copilote
I need a day license
Ik had een daglicentie gewenst
Je voudrais démandé une licence de jour
*
Yes
No
License number
Licentienummer
Numéro de licence
*
Issued by
Uitgegeven door
Délivré par
*
AUTOMOBILE CLUB ALBANIA
AKK - MOTORSPORT
ASOCIACION AUTOMOVILISTICA DE TOURING Y DEPORTES DE PANAMA
ASOCIACION HONDURENA DE AUTOMOVILISMO DEPORTIVO
AUTO MOTOR SPORT AND ROAD SAFETY FEDERATION
AUTO SPORT D'HAITI
AUTO SPORT FEDERATION OF SLOVENIA - AŠ 2005
AUTO SPORT SUISSE SARL
AUTOMOBIL CLUB D'ANDORRA
AUTOMOBIL CLUB DES FURSTENTUMS LIECHTENSTEIN
AUTOMOBIL CLUBUL ROMAN
AUTOMOBILE & TOURING CLUB OF LIBYA
AUTOMOBILE AND TOURING CLUB FOR UNITED ARAB EMIRATES
AUTOMOBILE AND TOURING CLUB OF EGYPT
AUTOMOBILE AND TOURING CLUB OF GREECE
AUTOMOBILE AND TOURING CLUB OF ISRAEL
AUTOMOBILE ASSOCIATION OF BANGLADESH
AUTOMOBILE ASSOCIATION OF TANZANIA
AUTOMOBILE ASSOCIATION PHILIPPINES
AUTOMOBILE CLUB DE MONACO
AUTOMOBILE CLUB D'ITALIA
AUTOMOBILE CLUB DU GABON
AUTOMOBILE CLUB DU LUXEMBOURG
AUTOMOBILE COMPETITION COMMITTEE FOR THE UNITED STATES FIA INC.
AUTOMOBILE ET TOURING CLUB DU LIBAN
AUTOMOBILE FEDERATION OF ARMENIA
AUTOMOBILE GENERAL ASSOCIATION MACAO-CHINA
AUTOMOBILE SPORTS CLUB OF NIGERIA
AUTO-MOTO ASSOCIATION OF MONTENEGRO
AUTO-MOTO ASSOCIATION OF SERBIA
AUTOMOTORSPORT FEDERATION OF REP. KAZAKHSTAN
AUTOMOVEL E TOURING CLUBE DE MOCAMBIQUE
AUTOMOVIL CLUB ARGENTINO
AUTOMOVIL CLUB BOLIVIANO
AUTOMOVIL CLUB DE COSTA RICA
AUTOMOVIL CLUB DE EL SALVADOR
AUTOMOVIL CLUB DE GUATEMALA
AUTOMOVIL CLUB DEL ECUADOR
AUTOMOVIL CLUB DEL URUGUAY
AUTORITE SPORTIVE NATIONALE DU CANADA
AVTOMOBILISTICKA FEDERACIJA NA MAKEDDONIJA
AZERBAIJAN AUTOMOBILE FEDERATION
BAHAMAS MOTOR SPORTS ASSOCIATION LTD
BAHRAIN MOTOR FEDERATION
BARBADOS MOTORING FEDERATION INC
BELIZE AUTOMOBILE CLUB
BOSNIA AND HERZEGOVINA AUTOMOBILE CLUB
BOTSWANA MOTOR SPORTS
CAMBODIA MOTORSPORTS FEDERATION
CEYLON MOTOR SPORTS CLUB
CHINESE TAIPEI MOTOR SPORTS ASSOCIATION
CLUB AUTOMOBILE DE RALLYE
CLUB AUTOMOBILE DU BURUNDI
CLUB AUTOMOVILISTICO DE NICARAGUA
CONFEDERACAO BRASILEIRA DE AUTOMOBILISMO
CONFEDERATION OF AUSTRALIAN MOTOR SPORT LTD
CROATIAN CAR & KARTING FEDERATION
CYPRUS AUTOMOBILE ASSOCIATION
DANSK AUTOMOBIL SPORTS UNION
DEUTSCHER MOTOR SPORT BUND E.V.
ESTONIAN AUTOSPORT UNION
ETHIOPIAN MOTOR ASSOCIATION
FEDERACAO PORTUGUESA DE AUTOMOBILISMO E KARTING
FEDERACION CHILENA DE AUTOMOVILISMO DEPORTIVO
FEDERACION DE AUTOMOVILISMO DE PUERTO RICO
FEDERACION DE AUTOMOVILISMO Y KARTISMO DE CUBA
FEDERACION DOMINICANA DE AUTOMOTOVILISMO INC.
FEDERATION ALGERIENNE DES SPORTS MECANIQUES
FEDERATION AUTOMOBILE DE LA REPUBLIQUE DEMOCRATIQUE DU CONGO
FEDERATION AUTOMOBILE D'UKRAINE
Federation Automobile Sport of Turkmenistan
FEDERATION DE L'AUTOMOBILE DE BELARUS
FEDERATION DU SPORT AUTOMOBILE DE MADAGASCAR
FEDERATION FRANCAISE DU SPORT AUTOMOBILE
FEDERATION IVOIRIENNE DU SPORT AUTOMOBILE
FEDERATION MAURITANIENNE DES SPORTS MECANIQUES
FEDERATION OF AUTO SPORT OF KOSOVO
FEDERATION OF AUTOMOBILE AND MOTORCYCLE SPORTS OF PEOPLE OF CHINA
FEDERATION OF MOTOR SPORTS CLUBS OF UGANDA
FEDERATION ROYALE MAROCAINE DE SPORT AUTOMOBILE
FEDERATION SENEGALAISE DE SPORT AUTOMOBILE ET MOTOCYCLISTE
FEDERAZIONE AUTO MOTORISTICA SAMMARINESE
GEORGIAN AUTOMOBILE SPORT FEDERATION
GUYANA MOTOR RACING AND SPORTS CLUB
HELLENIC MOTORSPORT FEDERATION
HONG KONG AUTOMOBILE ASSOCIATION
ICELANDIC MOTORSPORT ASSOCIATION
IKATAN MOTOR INDONESIA
JAMAICA MILLENNIUM MOTORING CLUB
JAPAN AUTOMOBILE FEDERATION
KENYA MOTOR SPORTS FEDERATION
KNAC NATIONALE AUTOSPORT FEDERATIE
KOREA AUTOMOBILE RACING ASSOCIATION
KUWAIT INTERNATIONAL AUTOMOBILE CLUB
LATVIJAS AUTOMOBILU FEDERACIJA
MALTA MOTORSPORT FEDERATION
MOTOR SPORTS ASSOCIATION
MOTORCYCLE AND AUTOMOBILE FEDERATION OF THE ISLAMIC REPUBLIC OF IRAN
MOTORSPORT ASSOCIATION OF PAKISTAN
MOTORSPORT NEW ZEALAND
MOTORSPORT SOUTH AFRICA
NAMIBIA MOTOR SPORT FEDERATION
NATIONAL AUTOMOBILE CLUB DE TUNISIE
NATIONAL AUTOMOBILSPORT FEDERATION OF HUNGARY
NATIONAL FEDERATION MOTOR RACING ERITREA
NEPAL AUTOMOBILES' ASSOCIATION
OMAN AUTOMOBILE ASSOCIATION
ORGANIZACION MEXICANA DEL DEPORTE AUTOMOVILISTICO INTERNACIONAL
ÖSTERREICHISCHER AUTOMOBIL- MOTORRAD - UND TOURING CLUB
PALESTINIAN MOTOR SPORT AND MOTORCYCLE FEDERATION
POLSKI ZWIAZEK MOTOROWY
QATAR MOTOR AND MOTORCYCLE FEDERATION
REAL FEDERACION ESPANOLA DE AUTOMOVILISMO
ROYAL AUTOMOBILE CLUB DE BELGIQUE
ROYAL AUTOMOBILE CLUB OF NORWAY
ROYAL IRISH AUTOMOBILE CLUB
RUSSIAN AUTOMOBILE FEDERATION
RWANDA AUTOMOBILE CLUB
SAUDI ARABIAN MOTOR FEDERATION
SINGAPORE MOTOR SPORTS ASSOCIATION
SLOVAK ASSOCIATION OF MOTOR SPORT
SUDANESE AUTOMOBILE AND TOURING CLUB
SVENSKA BILSPORTFORBUNDET
SYRIAN AUTOMOBILE CLUB
THE AUTOCLUB OF THE CZECH REPUBLIC
THE AUTOMOBILE ASSOCIATION OF MALAYSIA
THE FEDERATION OF MOTOR SPORTS CLUBS OF INDIA
THE LITHUANIAN AUTOMOBILE SPORT FEDERATION
THE ROYAL AUTOMOBILE ASSOCIATION OF THAILAND
THE ROYAL AUTOMOBILE CLUB OF JORDAN
TOURING Y AUTOMOVIL CLUB DE COLOMBIA
TOURING Y AUTOMOVIL CLUB DE VENEZUELA
TOURING Y AUTOMOVIL CLUB DEL PERU
TOURING Y AUTOMÓVIL CLUB PARAGUAYO
TRINIDAD AND TOBAGO AUTOMOBILE SPORTS ASSOCIATION
TURKISH AUTOMOBILE SPORTS FEDERATION
UNION DES AUTOMOBILISTES BULGARES
YEMEN CLUB FOR TOURING AND AUTOMOBILE
ZAMBIA MOTOR SPORT ASSOCIATION
ZIMBABWE MOTOR SPORTS FEDERATION
ENTRY FEE
INSCHRIJVINGSTARIEF
PRIX D' ENGAGEMENT
Participation fee
Deelnamekost
Coûts de participation
*
'Int. Ypres Historic Regularity' participation fee (entry & payment before Octobre 1) - 1490 €
'Int. Ypres Historic Regularity' participation fee (entry & payment after Octobre 1) - 1650 €
Shakedown stage
*
Shakedown stage not required
Shakedown stage participation - 25 €
(1 remaining)
Golden package (2 nights stay)
*
Golden package not required
Driver legend experience (3* hotel stay)
(9 remaining)
Gentleman legend experience (4* hotel stay)
(1 remaining)
Extra room 3* required?
Yes (300 €)
No
Extra room 4* required?
Yes (350 €)
No
Vegetarian food?
*
No
Yes (1 person)
Yes (2 persons)
Service crew package
*
Service crew package not required
Service crew 'repair package' (map book) - 50 €
Service crew 'repair & eat package' (map book, lunches & closing party) - 250 €
Current Total:
0
€
Calculate
INVOICE INFORMATION
FACTURATIEGEGEVENS
DONNÉES DE FACTURATION
Invoice not required
Invoice required
An invoice will be sent after payment
Company name
Bedrijfsnaam
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DECLARATION OF LIABILITY
AFSTAND VAN VERHAAL
DECHARGE DE RESPONSABILITÉ
I accept without reservation the terms of the YPRES HISTORIC REGULARITY 2024 regulations and in particular its insurance provisions and scope of coverage. I understand that I should take out any additional insurance that I consider appropriate covering my own personal injuries, and, or, and property damage. I hereby agree to indemnity and hold harmless SuperStage vzw, its representatives and staff for any liability inrespect of personal injury, property and other damage suffered by me, arising from the competition and which would not be covered by the insurance taken out by SuperStage vzw for the YPRES HISTORIC REGULARITY 2024.
Ik aanvaard zonder voorbehoud de bepalingen van het reglement YPRES HISTORIC REGULARITY 2024 en in het bijzonder de reikwijdte van de dekking. Ik begrijp dat ik een aanvullende verzekering moet afsluiten die ik geschikt acht voor mijn eigen persoonsverwondingen en/of eigendomsschade. Ik ga hierbij akkoord met schadevergoeding tot SuperStage vzw, haar vertegenwoordigers en personeel voor enige aansprakelijkheid met betrekking tot persoonlijk letsel, eigendom en andere schade die ik heb geleden die voortkomen uit de wedstrijd en welke niet worden gedekt door de verzekering afgesloten door SuperStage vzw voor de YPRES HISTORIC REGULARITY 2024.
J’accepte sans réserve les termes du Règlement du YPRES HISTORIC REGULARITY 2024 et notamment les dispositions relatives aux assurances dont j’ai compris la description ainsi que la portée des garanties. J’ai bien noté qu’il m’appartient de souscrire toute assurance individuelle complémentaire que je jugerais utile concernant ma personne et, ou, mes biens et qui ne seraient pas indemnisés par les assurances souscrites par l’Organisateur à l’occasion du YPRES HISTORIC REGULARITY 2024.
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I accept / Ik aanvaard / J'accepte