Ressort Motorsport Hansastraße 19 80686 München Entry form ADAC Rally Cup 2019 Within the framework of the ADAC Rallye Masters and the German Rally Championship, the ADAC e.v. invites tenders for the ADAC Rally Cup 2019. Requirements for participation in the ADAC Rally Cup 2019: 1. entry according to the entry form 2. payment of the entry fee 3. possession of an Opel Adam in the Cup version from 2013 to 2018 For participants who register by Friday, 08.02.2019, the entry fee is 3,900 plus VAT. For entries received later, the entry fee is 4,900 plus VAT. The entry fee is due upon entry for the ADAC Rallye Cup 2019. Participants whose entry has been confirmed by the will receive the following services upon confirmation of entry: - Entry fee for all ADAC Rallye Cup 2019 classification races - Eligibility for prize money according to ADAC Rallye Cup regulations The enclosed registration form must be completed in full, signed by the driver, applicant and vehicle buyer/owner, and sent to the following address: Motorsport Department Hansastrasse 19 80686 Munich, Germany E-mail: timo.lewerenz@adac.de Please transfer the entry fee by 08.02.2019: Reason for payment: ADAC Rallye Cup 2019, your name Bayerische Landesbank Munich IBAN: EN 25 7005 0000 0000 0000 0558 30 BIC: BYLA DE MM
As soon as the ADAC has received the entry fee, the invoice will be sent to the participant. Please provide the exact billing address. In principle, the number of ADAC Rallye Cup participants is limited to 38 drivers/vehicles. The participants undertake to participate in all official ADAC Rallye Cup 2019 classification races, except in cases of force majeure. An application for exemption at an event must be submitted to the series coordinator at least three days before the start of the respective competition run. The series coordinator will then decide whether to grant the request for exemption. If this procedure is disregarded and a non-participation in a competition race not approved by the series coordinator takes place, the respective driver and/or co-driver can be punished. If a participant registers and still does not start at all races of the series, the right to a refund of the entry fee expires. The participation of the 1st driver is decisive, the 2nd driver (co-driver) may be changed. If a Cup run has to be cancelled due to force majeure, the participant will not be refunded any amounts or partial amounts of the entry fee.
Entry form ADAC Rallye Cup 2019 Entrant NAME OF THE ENTRANT: PHONE: ASN: FAX: 1. Driver DATE OF BIRTH: PHONE PRIVATE: SUR ADAC MEMBER-NO.: TELEFON BUSINESS: VAT-ID-NO.: 2. Fahrer (Beifahrer) DATE OF BIRTH: PHONE PRIVATE: SUR ADAC MEMBER NO.:: PHONE BUSINESS:: Car: Opel Adam MANUFACTURER: OPEL YEAR OF CONSTRUCTION: PS: TYP: ADAM CCM: DIVISION PURSUANT TO ADAC RALLYE MASTERS- REGULATIONS Invoice address for entry fee STREET / NO.: BIC: VAT.-ID NO.: BEZEICHNUNG: IBAN: COUNTRY:
Bank account (fort he payment of the prize money) NAME AND ADDRESS OF THE ACCOUNT HOLDER BANK: BIC: IBAN: [ ] In addition, I agree to be informed by e-mail about further events of the racing series. City, Date Signature of the 1st driver of the entrant By signing the entry conditions will be accepted
Contact details Vehicle buyer/ Owner of the ADAC Rallye Cup vehicle If the 1st driver named in the registration form is not the buyer/owner of the ADAC Rallye Cup vehicle at the same time, we kindly ask you to fill in the following information on the vehicle buyer/owner:: ADAC Rallye Cup vihicle/buyer/owner COMPANY: VAT.-ID.: STREET / NO.: PHONE: FAX: [ ] In addition, I agree to be informed by e-mail about further events of the racing series. City, Date Signature of the car buyer / owner By signing the entry conditions will be accepted Please return to: Herrn Ressort Motorsport Hansastraße 19 80686 München or by email to timo.lewerenz@adac.de Contact ADAC Rallye Cup Phone: +49 (0) 89 7676 4410, Fax: +49 (0) 89 7676 4430, Mobile: +49 (0) 171 55 55 417, E-Mail: timo.lewerenz@adac.de