entryform test day zandvoort

__________________________________________________________________________________

TEST DAY CLIO CUP BENELUX Zandvoort: Thursday 18th of Februari 2016

Timeschedule: 11.00:welcome at VIP Box Dutch Racing Driver Academy (above pitbox 23) 13.00-17.00 :drivingCosts are 250,00 euro(ex VAT) cash payment at arrivalPlease returm entry form before the 16th of February to:Peter Plevier peter@mdh.nl

Team:_________________________________________________________No. Of Cars:_________________________________________________________Drivers :_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Pitbox yes/no:_________________________________________________________Invoice address/VAT__________________________________________________________________________________________________________________Contact:_________________________________________________________Mobile:_________________________________________________________E-mail:_________________________________________________________

Signature:

If you have any questions please e-mail to: peter@mdh.nl