Entry form
"Mezinárodní mistrovství
závodů automobilů do vrchu
LIQUI MOLY Maverick Hill Climb Czech 2024"
.
Titulární partner
Generální partner
Hlavní partneři
(Fields marked with a red asterisk are REQUIRED!)
Name
Surname
Original start number in 2023
Country
ALBANIA (AL)
ANDORRA (AD)
AUSTRIA (AT)
BELARUS (BY)
BELGIUM (BE)
BOSNIA AND HERZEGOWINA (BA)
BULGARIA (BG)
CROATIA (HR)
CZECHIA (CZ)
DENMARK (DK)
ESTONIA (EE)
FINLAND (FI)
FRANCE (FR)
GERMANY (DE)
GREECE (GR)
HUNGARY (HU)
ICELAND (IS)
IRELAND (IE)
ITALY (IT)
LATVIA (LV)
LIECHTENSTEIN (LI)
LITHUANIA (LT)
LUXEMBOURG (LU)
MACEDONIA (MK)
MALTA (MT)
MOLDOVA, REPUBLIC OF (MD)
MONACO (MC)
MONTENEGRO (ME)
NETHERLANDS (NL)
NORWAY (NO)
POLAND (PL)
PORTUGAL (PT)
ROMANIA (RO)
SERBIA (RS)
SLOVAKIA (SK)
SLOVENIA (SI)
SPAIN (ES)
SWEDEN (SE)
SWITZERLAND (CH)
UKRAINE (UA)
UNITED KINGDOM (GB)
Address
Postcode
City
Date of birth (in format 01.01.1980)
E-Mail
Phone (in international formáte +xxxyyyzzzzzz)
Team
Car - brand (for ex.: Škoda, BMW, Suzuki, ...)
Car - type (for ex.: Fabia, 320i, Swift, ...)
Class
HA1-1400
HA1-2000
HA1+2000
HA1-K-1300
HA1-K-1600
HA1-K+1600
HA1-K-2000
HA1-K+2000
HA2/ZST - 1600
HA2
S1-1600
S1-2000
S1+2000/2WD
S1+2000/4WD
E1-1150
E1-1400
E1-1600
E1-2000
E1-3000/2WD
E1+2000/4WD
E1+3000/2WD
E2/SC-1600
E2/SC-2000
E2/SC+2000
E2/SS-1600
E2/SS-2000
E2/SS+2000
E2/SCB
Start number
Password
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