Fahrer

Surname:*
First Name:*
Date of birth:*
Street, Number:*
Zip Code:*
City:*
Country:*
Nationality:*
Telephone number:*
Email:*
Size:*
Beifahrer

Surname:
First Name:
Date of birth:
Street:
Zip Code:
City:
Country:
Nationality:
Telephone number:
Email:
Size:

Car

Manufacturer:
Year of construction:
Color:

Type:
Indicator:
Cubic Capacity:

Upload car picture:
Car history and details (optional):
Entry Fee

Please check, all prices are VAT included. Your subsciption is valid upon receipt of your payment. For organizational reasons, the number of participants is limited, valid is the receipt

Bank account details:
BIC code: CCRALULL
IBAN: LU04 0099 7800 0055 7579

Speaker Information

Driver

Surname:*
First Name:*
Country:*
Co-driver

Surname:
First Name:
Country:
Waiver declaration driver / passenger
The organizer disclaims responsibility for personal injury and damage to material happening during the event.
Pilot and co-pilot are solely responsible for all consequences according to civil and criminal law following their participation.
With the registration for this event, they waive all claims for damages.
This also applies for possible damage when attaching the start numbers, idendification and any advertising plates to their vehicles.
In case of a termination of the event because of force majeure or because of safety reasons, no refund or any other compensation will be granted.
Throughout the route, the Luxemburgish traffic law is applicable.

 I agree to the above terms and conditions
 I read and agree with the PCML regulations Porsche Classic Meeting 2017 - Regulations