Naming

DRIVER

Last name / First name

Street

Postal code/City

E-Mail

Phone

Co-Driver

Last name / First name

Children under 12 years free

1 Child

2 Children

3 Children

Vehicle data

Type

Car

Moto

Make

Model

Year of manufacture

Capacity (cc/cl)

Number of Zylinders

Power/PS

Interesting facts about the vehicle

Entry fee

Adults/ children over 12 years

Car with one person 65,00€

Car incl. 1 co-driver 125,00€

Car incl. 2 co-driver 170,00€

Car incl. 3 co-driver 215,00€

Motorcycle with one Person 55,00€

Motorcycle incl. 1 co-driver 100,00€

Welcome-Evening

Please select one

I would be happy to attend. plus 50,00€

We are happy to participate with two persons. plus 100,00€

We are happy to participate with three persons. plus 150,00€

We are happy to participate with four persons. plus 200,00€

We do not arrive until Sunday morning.

You eat vegetarian ? Please select one

Vegetarian 1 X

Vegetarian 2 X

Sleeping place motor vehicle

So that you can sleep peacefully, we offer you the opportunity to store your vehicles in a secure hall from 15-16 July 2023. Max. 18 cars possible. Places will be allocated on a first-come, first-served basis. "This offer is not a custody in the legal sense, the participant has to take care of a sufficient (partial) comprehensive insurance and confirms this with his entry. The available places will be allocated according to the number of applications received.

I would like to store my motor vehicle in a hall plus 20,00€.

My motor vehicle sleeps at home

Legal (unfortunately)

Entry fee

I will transfer the total amount (entry fee and, if applicable, welcome evening/pitch) within 7 days after receipt of the confirmation of participation (will be sent by the race management).

Conditions of participation

I have read the conditions of participation of the announcement of the Eifelrundfahrt1922 on 15./16. July 2023 in Nideggen and accept them by sending this registration.

Data

I agree that the data used by me here will be published during the Eifelrundfahrt1922 on 15./16. July 2023 in Nideggen by the route speaker during the event via loudspeaker and on www.eifelrundfahrt1922.de. I/we are aware that this data is thus available to the public on the Internet. This consent can be refused and/or revoked in writing at any time with effect for the future. The revocation is to be addressed to: Georg Becker, Am Laacher House 10, 41515 Grevenbroich.

Newsletter

By entering my e-mail address and clicking the button "Send entry" I agree that Georg Becker may send me information about the event "Eifelrundfahrt1922" if required. I can revoke my consent at any time to Georg Becker, Am Laacher Haus 10, 41515 Grevenbroich.