2019 - vintage revival · 2018. 2. 27. · selection request form dear friends, please find...

SELECTION REQUEST FORM

Dear Friends,

Please find enclosed the selection request form for your car for the next Vintage Revival on the 11th and 12th May 2019 for you to fill and return

Our selection tem will let you know if your request has been successful. If so, you will then receive your full subscription papers including all the information about the event IMPORTANT SELECTION INFO Depending on the different track categories and available places in each session we choose the participants with the following priorities :

Vehicle of the 2019 honoured marques

Vehicle of the anniversary marques.

Original vehicle or Recreation on submission of a satisfactory historic report. Véhicle known as « Special »

Do not forget to enclose a current photo and a description for our selection team. Incomplete submissions will not be considered. The decision of the selection team is final. Requests for justification and appeals will not be considered Attempts to influence the decision of the selection team by soliciting or influencing officials of the Vintage Revival might lead to the cancellation of your request. We wish to warn participants of the pre-19 and exception class that they will be requested to wear a modern helmet approved by our technical control staff. Do not hesitate to contact us for any information you may require. Please do contact us as early as possible if you have to cancel your participation or if you have any problem.

Copie des deux documents ci-dessous.

VRM Organisation

2019

France :

SELECTION RETURN

Mail :

Association Vintage Revival 28, Rue de la rotonde

58000 NEVERS

e-mail : vintage-revival-montlhery@outlook.com

INFOS

France :

Président : Vincent Chamon

e-mail : vintage-revival-montlhery@outlook.com

Web : http://www.vintage-revival.fr/

Téléphone : 03 86 57 10 67 – Mobile : 06 59 50 39 13

Fax : 03 86 21 44 65

Angleterre – UK Representative :

Jean-Frédéric Frot – jffrot@btconnect.com

Tél : 0044 12 54 82 53 82

Mob : 0044 7746 776696

Hollande :

Kees

e-mail : VRM.NL@outlook.com

Nom / Surname : ____________________ Prénom / First name : __________________

Adresse :

Tél : e-mail :

Véhicule/Vehicle : Automobile / Car : Moto / Motorcycle : ( Pré-1940 à tendance sportive. Nous consulter pour les véhicules plus modernes )

( Pre-1940 vehicles of sporting character. Contact us regarding later vehicles

Marque / Make: __________________

Model: _______________________________

Carrosserie / Body :_______________

Année du véhicule / Year: ___________ Cylindrée / Capacity :_____________cm3/cc

Véhicule d’origine / Original car : Oui/Yes : - Non / No :

N° Série : _____________________________________________

Souhaitez-vous participer aux séances de roulage sur la piste ?

Do you wish to participate to the track sessions?

ou Vous souhaitez mettre votre véhicule au parc exposition pré 1940 ?

Remorque de plus de 3 mètres de haut / Trailer of more than 3 meters in height : Oui/Yes Non/No

11 & 12 May 2019

Circuit de Linas-Montlhéry SELECTION

REQUEST

FORMULAIRE

DE

SELECTION

CELEBRATED MARQUE 2019

Cars : ALFA-ROMEO

Motorcycles : TERROT Race or GP

Anniversary Marques : Morgan, Darmont & Vauxhall

& Big gathering of “BEDELIA Cyclecar”

Final date for

entries

1 March 2019

Clôture des

inscriptions

Le

01 Mars 2019

www.vintage-revival.fr

Historique du véhicule / VEHICLE STORY – INFO : NE PAS OUBLIER DE JOINDRE LA PHOTO DU VEHICULE

Estimatif vitesse du véhicule:

(Estimated speed of vehicle )

Oui/Yes :

Non/No :

N

o

n

/

N

o

:

Oui/Yes :

Non/No :

Vintage-Revival

N°