Академический Документы
Профессиональный Документы
Культура Документы
20
20
10
11
10
200
9
2008
2007
0 06
2
20 05
20
04
3
2002
200
RIDER
name ......................................................................................... surname ........................................................................................................................
birth place ............................................................... date of birth ........................................... address ....................................................................
city ................................................................................... prov ............. code ................ State ........................ phone ...............................................
mobile .......................................................... e-mail ................................................................................................. fax ............................................................
CLUB ASI (if Member)................................................. ASI certification n°.................................................. driver’s licence n° .................................
expiry ........................................................ COMPANION (name and surname) .....................................................................................................................
..
MOTORCYCLE 1
make ...................................................................... model ............................................................................. engine cylinder capacity ........................... year ....................
serial number .......................................... engine number ........................................................................ ASI or Fiva Certification n° .......................................................
ATTENTION! Motorcycle without ASI Certification: enclose two 10x15 pics (left and right sides); if the motorcycle has a fairing, also add two pics of the engine (right
and left sides). Has the motorcycle already participated in past editions of the ASI MOTOSHOW? Yes ...................... No ...................... If yes, in what year? ..................
Historical and technical information (important technical characteristics, sports history, etc.) .......................................................................................................................
........................................................................................................................................................................................................................................................................
MOTORCYCLE 2
make ...................................................................... model ............................................................................. engine cylinder capacity ........................... year ....................
serial number .......................................... engine number ........................................................................ ASI or Fiva Certification n° .......................................................
ATTENTION! Motorcycle without ASI Certification: enclose two 10x15 pics (left and right sides); if the motorcycle has a fairing, also add two pics of the engine (right
and left sides). Has the motorcycle already participated in past editions of the ASI MOTOSHOW? Yes ...................... No ...................... If yes, in what year? ..................
Historical and technical information (important technical characteristics, sports history, etc.) .......................................................................................................................
........................................................................................................................................................................................................................................................................
DECLARATION
The undersigned........................................................................................................... declares to have read the Event Rules on www.asifed.it and hereby accepts them.
Place.............................................................................. Date .............................. Legible signature .......................................................................................................
The undersigned ......................................................... in compliance with Art. 1341 of the Civil Code, declares to expressly accept clauses 2-5-6-7 of the Event Rules.
Place.............................................................................. Date .............................. Legible signature .......................................................................................................
The undersigned ......................................................................................in observance of Privacy Law n. 196 of June 30, 2003, authorizes use of his/her personal data.
Place.............................................................................. Date .............................. Legible signature .......................................................................................................
The data listed above will be processed by ASI Automotoclub Storico Italiano,Villa Rey, Strada Val San Martino Superiore 27, 10131 Torino (Italy).