Påmelding sommertreff/registration summer rally 2018 NMMK
Påmeldings frist/Registration deadline 01.06.2018

Betaling til konto nr/ Payment to account nr 1822.35.94294
IBAN: NO7718223594294
BIC (SWIFT) : SHEDNO22XXX

Email address *
Navn/Name *
Your answer
Adresse/Adress *
Your answer
Postnr og By / Postal code and town *
Your answer
Land/Country *
Your answer
Mobil tlf/ Mobil telephone
Your answer
NMMK medlems nr/NMMK member nr
Your answer
Ikke medlem/No member (400 Nok pr. pers.)
Bil 1/Car 1
Registrerings nr/Registration nr
Your answer
Års modell/Production year
Your answer
Klasse/Class
Bil 2/Car 2
Registrerings nr/Registration nr
Your answer
Års modell/Production year
Your answer
Klasse/Class
Bil 3/Car 3
Registrerings nr/Registration nr
Your answer
Års modell/Production year
Your answer
Klasse/Class
Treffbilde/ picture (150 Nok) *
Required
Treffmerke/Rally badge (225 Nok) *
Required
Hvor mange personer over 15 år/How many persons over 15 years? (200 Nok pr pers.) *
Required
Barn under 15 år/ Child under 15 years.
Navn og alder på barn/Name and age on child
Your answer
Ankommer dato/Arrival date *
MM
/
DD
/
YYYY
Avreise dato/Leave date *
MM
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DD
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YYYY
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