Вы находитесь на странице: 1из 2

2011

20

20

10
11

10
200
9
2008

2007
0 06
2
20 05
20
04
3
2002
200

YEARS OF PASSION ON THE TRACK


Varano de’ Melegari Track (Parma-Italy)
May 13-14-15, 2011
tel. +39 331.4795403 - info@asifed.it - www.asifed.it
Varano de’ Melegari
Track tel. +39 331.4795403
(Parma - Italy) info@asifed.it
www.asifed.it
May 13-14-15
Registration fee
2011 REGISTRATION TERMS AND PROCEDURE
Riders with at least one motorcycle built prior to 1918 euro 50 Each rider can register a maximum of two motorcycles built before 1990. Registration
Foreign riders euro 140 includes participation in the Event, the gala dinner and gadgets. If the motorcycle is not ASI
certified, please include two photographs of the motorcycle (10x15 cm format, on a neutral
ASI Member riders euro 120 background, left and right sides). If the motorcycle has a fairing, also add two photographs of
Non ASI Member riders euro 200 the engine (right and left sides). Sidecar passengers are considered riders and are therefore
Companion (italian or foreign) euro 50 required to fill out the registration form and pay half the riders’ fee. Payments must be
Sidecar passengers must register and pay half the riders’ fee. made by bank transfer. Registration forms must be mailed by April 8, 2011 to the following
address: ASI Automotoclub Storico Italiano, Villa Rey, Strada Val San Martino Superiore 27,
Payment 10131 Torino (I). Registrations will be accepted at the discretion of the Board of Examiners
(until all available places are filled), and only if correctly filled out and accompanied by a
BY BANK TRANSFER MADE OUT TO: copy of the receipt of payment. The ASI office will send notification of admission to the
RECIPIENT: ASI - Automotoclub Storico Italiano Event. If registration is not accepted, the registration fee will be completely reimbursed.
BANK: Banca del Piemonte - Agenzia 8, 10152 Torino (Italy) CLOTHING! Please check the Rules of the Event (point 2) on the website www.asifed.it
IBAN: IT87Z0304801008000000082175
SWIFT: BDCP IT TT EVENT PROGRAM
REASON FOR PAYMENT: ASI Motoshow 2011 registration Friday, May 13
+ participant’s name and surname 9:00 a.m. - 6:30 p.m.Technical inspections and registration of participants in the paddock
All bank charges must be borne by the participant. To this 2:30 - 6:30 p.m. MOTOSHOW on the track, with a trial run for each preliminary heat
end, please tick the relevant box on the transfer order. Saturday. May 14
7:30 a.m. - 12:30 p.m. Technical inspections of motorcycles
Registration 9.30 a.m.-12:30 p.m. MOTOSHOW on the track, with a trial run for each preliminary heat
2.30 p.m.-6.30 p.m. MOTOSHOW on the track, with a trial run for each preliminary heat
deadline 10.30 a.m. Cultural/gastronomic trip (just for companions)
9:00 p.m. Gala dinner for participants and crew
April 8, 2011 Sunday, May 15
9:00 a.m. - 2:30 p.m. MOTOSHOW on the track, with trial runs and the Champions Parade

REGISTATION FORM FOR ASI MOTOSHOW 2011 (Please, write in capitals)

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).

Вам также может понравиться