You request an invitation to the contest IAME Series Benelux R3 on the circuit Genk Modify your choice. Then fill in the form below:
Name* First name* Date of birth* (dd/mm/jjjj) E-mail* Address (street + number)* Postal code* City* Country* Phone* With international access number (+.......) If you are entitled to a fee, it will be paid into your bank account a few weeks after the event. If your country is a member of the "SEPA" zone, please write your number in "IBAN" format. If your country is outside the "SEPA" zone, please write your number as it is used in your country. Bank account*
License number* Issuing Country* Scan your license on both sides (JPG, PNG, GIF of PDF) Your file*
Scan of the permission issued by your national organisation (JPG, PNG, GIF of PDF) Your file *I understand that the racb sport insurance that covers the belgian marshals does not relate to the foreign marshals and that I must take out private insurance. I would like the racb to send me private insurance for this contest by email. Enter the name of the marshal of your nationality with whom you wish to work. We will try to assign you the same post. If you know a Belgian marshal or team, enter his name or team number here. We will try assign you the same post. Indicate on which days you are active on post.* friday saturday sunday Comments
Please click only once on "Send". If the following page does not show the recorded data, send an email to [email protected]. Do not fill in a second form for the same race, we will solve the problem by email.