I International Pagoda Rally
Application for the I International Rally W113 Pagoda SL Club Poland
Email address
PARTICIPANTS OF THE RALLY
Driver’s - Name and Surname
Your answer
Co-driver’s - Name and Surname
Your answer
Passenger’s - Name and Surname
Your answer
Street No.
Your answer
Zip code, city
Your answer
Country
Your answer
Mobile Phone number (incl. country code)
Your answer
T-shirt size
Driver
Co-driver
Passenger
CAR
Model
Year
Your answer
Paint colour
Your answer
Legal Disclaimer
I hereby consent to the processing of these personal data only for the organization of my stay at the International Rally W113 SL Pagoda Club Poland Topacz 2017.
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