Preorder insurance and petrol Tuareg Rallye 2019
Important: If a trailer is carried, it is essential to declare it in this form. For the ordered amount of fuel you receive Algerian money, with which you can refuel at the gas stations.
Your Data
Your registration Code *
Code like REG001 or REG123 which we have sent to you by email.
Your answer
Your Family name *
Nachname
Your answer
Your given name *
Vorname
Your answer
Your email *
Email we will send the confirmation
Your answer
Service
Select your service *
Required
Data of your vehicle
Type of vehicle *
Manufacturer
like KTM, Toyota, MAN...
Your answer
Type
like EXC 450 or Hillux...
Your answer
Registration Number *
Your answer
Chassie Number *
Your answer
Length *
Your answer
High *
Your answer
Power in KW *
Your answer
Your Trailer
important if you bring a trailer with you
Manufacture trailer
Your answer
Type trailer
Your answer
Registration number trailer
Your answer
Chassie number trailer
Your answer
Length trailer
Your answer
High trailer
Your answer
Maximum load trailer
Your answer
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