NOTE! To be filled in by organizer
KLASS / CATEGORY ANKOM / RECEIVED BETALT / PAYED BETALNINGSDAG/ SKALL BETALA/ STARTNUMMER/
DAY OF PAYMENT TO PAY COMPETITOR NUMBER
28th Linde Open, Lindesberg, SWEDEN 13-14/8 2011
OFFICIAL EVENT ENTRY FORM
Entry fee Jr Dragster, JR Bike, EL-bil: SEK 400,
Entry fee ET Pro, all bike classes: SEK 800
Entry fee all other classes: SEK 1000
CLOSING DATE FOR ENTRIES: 8th of August, 2011
th
EVENT: 28 Linde Open VENUE: Lindesberg, SWEDEN
PROMOTED BY: SHRA Lindesberg, ORGANISED BY: SHRA Lindesberg
Förare / Competitor (VAR VÄNLIG TEXTA / PLEASE WRITE IN BLOCK LETTERS)
Namn / Name Personnummer / Social sec. Number
Adress / Address Tel bostad / Phone home
Tel arbete / Phone work
E-mail
Klubb / Club Licensklass och nummer / License class and number
Anmälare (Målsman Junior) / Registrator (Guardian Junior): (VAR VÄNLIG TEXTA / PLEASE WRITE IN BLOCK LETTERS)
Namn / Name Licensnummer / License number
Adress / Address Telefon / Phone
Fax
E-mail
Fordonets namn / Name of vehicle Fabrikat / Make Startnummer / Competitor number
Modell / Model Tillverkningsår / Year Grupp (t.ex. AA/A) / Class (f.e. AA/A)
Motorstorlek / Engine size Motorfabrikat / Engine make Bilens vikt inkl. förare / Vehicles weight incl.
driver
Media
Hur började du med dragracing / How did you start drag racing
Bästa resultat / Best results
Team
Sponsorer / Sponsors
CLASS YOU WISH TO ENTER -
Jr Dragster ET Pro Super Street Super Gas Super Comp Stock/ Competition
Super Stock
JR Bike Street Bike Super Gas Bike Super Comp Pro Street Bike Pro Twin Bike EL-bil
Bike
Foreign competitor may pay entry fee on arrival at event, entry form to be E-mailed no later than August 8th to: lindeopen@telia.com
Korrekt anmälningsavgift skall betalas och detta formulär skickas senast 8 augusti med E-post till: lindeopen@telia.com
I have read and understood the invitation and supplementary rules for 28th Linde Open, and I agree to abide by the FIA, SBF, UEM/FIM
and SVEMO rules and any subsequent regulations officially promulgated.
th
Jag har läst och förstått inbjudan och tilläggsregler för 28 Linde Open samt regler från FIA, SBF, UEM/FIM samt SVEMO och jag
accepterar att följa dessa samt de anvisningar som kan komma att meddelas senare.
To be signed at arrival / Ifylles vid ankomst
………………………………………………………………………………………………. ……………………………………….
Ort / Locality Datum / Date:
……………………………………………………………………………………………….
Underskrift tävlande / Signature competitor:
……………………………………………………………………………………………….
Underskrift anmälare (målsman) / Signature registrator (guardian):
I have paid my Entry Fee to SHRA Lindesberg via Bankgiro 973-5812
28th Linde Open , 13-14/8 2011
TEAM TICKETS / TEAMBILJETTER
This form has to be filled in and sent back to SHRA Lindesberg together with your entry form. Each person should
be able to present a photo identification to obtain his ticket at the gate.
DRIVERS NAME COMPETITION NUMBER
STREET ADDRESS CLASS
ADDRESS POST CODE COUNTRY
Print full name/Namn Date of birth / Födelsedatum:
åååå-mm-dd
yyyy-mm-dd
åååå-mm-dd
yyyy-mm-dd
åååå-mm-dd
Ticket allocation including driver in each class: 3 or 4, depending on class. See invitation for details.
Please note that extra pit space can NOT be booked on this form.
OBSERVERA att extra depåutrymme INTE kan bokas via denna blankett.
Please, tick the box next to the picture that best describes your tow vehicle combination
Kryssa I vid den bild som bäst stämmer med din fordonskombination.
Looking from behind of your vehicle what side does your awning come out on? Please tick a box:
Sett bakifrån, på vilken sida om dragfordonet står tält/markis/tygtak?
Left-hand side/vänster Right-hand side/höger Behind the trailer /bakom släpet
TOW VEHICLE AND TRAILER & AWNING TRAILER LENGTH TOW VEHICLE LENGTH
TRAILER TOTAL TOTAL WIDTH /total ONLY/Släpets längd ONLY/ Dragfordon längd
LENGTH /dragbil och bredd med tält meter meter
släp total längd meter
meter
Other important information relating to pitting/annan viktig information om depåplats?