2019 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 2019

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

2019 Calendar *

Oulton Park - 20 - 22 April - (VW Cup £950 + VAT) Snetterton - 18 - 19 May - (VW Cup £950 + VAT) Silverstone GP - 8 - 9 June - (VW Cup £950 + VAT) Donington Park - 22 - 23 June - (VW Cup £950 + VAT) Brands Indy Deutsche Festival - 6 - 7 July - (VW Cup £950 + VAT) Brands Hatch GP - 3 -4 August - (VW Cup £950 + VAT) Donington Park - 14 - 15 September - (VW Cup £950 + VAT)

Full Season Entry Discounted Price.

Milltek Sport Volkswagen Racing Cup Discounted Entry Fee - £6317.50 + vat if paid before 31/1/19. Must complete Online Registration/Entry Form to qualify for the discount.

Full Season Entry Fee.

Milltek Sport Volkswagen Racing Cup one off payment Entry fee - £6,650 + vat

One off Round payment.

Milltek Sport Volkswagen Racing Cup one round entry fee - £950 + vat

Registration Fee

2019 Milltek Sport Volkswagen Racing Cup Championship Registration

Full Year Registration Discounted Price.

Milltek Sport Volkswagen Racing Cup Discounted Registration Fee - £500 + vat if paid before 21/12/18. Must complete Online Registration/Entry Form in full, to qualify for the discount.

Full Year Registration

Milltek Sport Volkswagen Racing Cup Registration Fee - £1000 + vat. Registration is not complete & entry will not be accepted until the Registration/Entry Form is completed in full, along with the paid fee.

One off Round Registration Fee.

Milltek Sport Volkswagen Racing Cup Registration Fee – £200 + vat. Registration is not complete & entry will not be accepted until the Registration/Entry Form is completed in full, along with the paid fee. Form must be completed a week prior to the event.

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

VAT Registration Number: 08027571

Maximum Motorsport Ltd,

Dunton house
Little Hay lane
Little Hay
Staffordshire
WS14 0QD

Checklist

Please ensure you have completed all of the required fields above before submitting the form

Sections completed *

Driver Details, Next of Kin, Driver completition Details Vehicle & Team Information Commentary form Race entry and registration fee