2018 Milltek Sport Volkswagen Racing Cup Championship Registration Form

Driver Details

Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Telephone

Mobile *

Email Address *

Date of Birth *

01/01/2016

Nationality *

Next of Kin

Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Contact Number *

Competition Details For Drivers

MSA Licence Number *

Grade of Licence *

Preferred Competition Number *

Vehicle Details

Model *

Year of Build *

CC *

Turbo *

Delete as appropriate

Car Colour *

The Main Colour

Transponder Number *

Team / Entrant Details (if different to drivers details)

Full Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Entrants Licence Number

Team Contact Name

Telephone

Email

Commentary / Media Form

PLEASE NOTE: If this section is not complete your information will NOT be passed on to circuit commentary or the Television Production company. Please ensure your details are included as much as possible.

Name *

Nick Name

Occupation *

Age *

Website

Sponsors *

Season Ambitions *

Career Highlights *

Personal Profile *

Race Entry Fee

Please tick all the relevant boxes for the events you wish to enter for 2018

Please note: Entry is not confirmed until payment is received.

2018 Calendar *

Silverstone National - March 31 - April 1 - (VW Cup £850 + VAT) (VAG Trophy £600 + VAT) Rockingham - April 28 - 29 - (VW Cup £850 + VAT) (VAG Trophy £600 + VAT) Snetterton - May 26 - 27 - (VW Cup £850 + VAT) (VAG Trophy £600 + VAT) Brands Hatch Indy - June 17 - (VW Cup £850 + VAT) (VAG Trophy £600 + VAT) Spa Francorchamps - TBC (VW Cup £850 + VAT) (VAG Trophy £600 + VAT) Oulton Park - August 04 - 05 - (VW Cup £850 + VAT) (VAG Trophy £600 + VAT) Croft - September 8-9 - (VW Cup £850 + VAT) (VAG Trophy £600 + VAT) Donington Park - September 22 - 23 - (VW Cup £850 + VAT) (VAG Trophy £600 + VAT)

Full Season Entry Discount ( Available until 31/01/18 )

2018 Milltek Sport Volkswagen Racing Cup - One Off Payment - £6,120 + VAT 2018 Maximumgroup.net VAG Trophy - One Off Payment - £4,320 + VAT

Registration Fee

2018 Milltek Sport Volkswagen Racing Cup Championship Registration

£850 plus VAT

2018 Maximumgroup.net VAG Trophy Registration

£500 plus VAT

Included with the registration fee you will recieve five passes for entry and two hospitality passes* and a custom Volkswagen Racing Cup Coat**.

* Hospitality is only included with the 2018 Milltek Sport Volkswagen Racing Cup

* Coat must be ordered by 1st March 2018 to be eligible

Full Year Registration (Milltek Sport Volkswagen Racing Cup)

Milltek Sport Volkswagen Racing Cup Season registration - £850 + VAT

One off Registration (Milltek Sport Volkswagen Racing Cup)

Milltek Sport Volkswagen Racing Cup Single race registration - £106 + VAT

Full Year Registration Maximumgroup.net VAG Trophy

Maximumgroup.net VAG Trophy Season registration - £500 + VAT

One off Registration Maximumgroup.net VAG Trophy

Maximumgroup.net VAG Trophy Single race registration - £75 + VAT

Milltek Sport Volkswagen Racing Cup: Included with a one off registration you will recieve three entry and hospitality passes for that round.

Maximumgroup.net VAG Trophy: Included with a one off registration you will recieve two entry passes for that round.

(All passes need to be returned at the end of the weekend)

In accordance with rule 1.4 - if a driver withdraws from the championship for whatever reason, regardless of circumstances at any point before the final event of the championship, NO REFUND of registration fee already paid will be made.

Please arrange your payment by one of the following two methods:

1. Cheques payable to Maximum Motorsport Limited.
Maximum Motorsport Limited, Dunton house
Little hay lane
Little hay
Staffordshire
WS14 0QD

2. BACS Payment.
Bank: HSBC
Account Name: Maximum Motorsport Limited
Sort Code: 40-43-28
Account Number: 7202 2311

No championship registration is confirmed until a cleared payment is received.

By signing this E-Signature, you are agreeing that all information on the above form is correct *

Clear

Once submitted you will be diverted to the payment information on the VW Racing Cup website. Please do not close this screen until actioned.

VAT Registration Number: 08027571

Maximum Motorsport Ltd, Dunton house
Little hay lane
Little hay
Staffordshire
WS14 0QD