Application form – H6 Rally

RKE class: 700 PLN
Classes: NOL, ADV, CHL
The entry fee is 990 PLN until 12.10. After this date, the entry fee will be 1300 PLN.

Payment details:
ING 63 1050 1575 1000 0091 5144 1301
Title: H6 Round 4 – Name and surname of participant, team
H6 RALLY Sp. z o.o. KSIĘŻYCOWA 12, 55-050 SULISTROWICZKI NIP 8961635577

First Name and Last Name of the Driver *

First Name and Last Name of the Pilot *

First Name and Last Name of the Service technician

Optional field, each crew can have a service technician.

Tax Identification Number

Crew / vehicle Name *

Class *

Phone number *

Full address for correspondence *

Country *

Email *

Select a round: *

Driver's t-shirt size *

Pilot's t-shirt size *

Serviceman's T-shirt size

Consent to the processing of personal data *

I agree

I agree to receive from Xteme Sports Sp. z o.o. organizatota rally offers and commercial information. I declare that I have been informed about my right to access my data collected by the above-mentioned companies and the right to correct them.