Registration form Rally 2019 Sint Oedenrode 17 - 19 mei 2019

Rally 2019 Sint Oedenrode


Please complete this form on computer or tablet, not on a smartphone!

Fields with a (*) are mandatory. (Please note: all information entered will be treated with the strictest confidentiality)

Vul dit formulier in op een computer of een tablet, niet op een smartphone!

Velden met een (*) zijn verplicht. (PS: alle ingevoerde informatie wordt strikt vertrouwelijk behandeld)
Number of participants in your party(*)
Please enter the number, only numbers are allowed

Aantal deelnemers in je groep

Driver's full name(*)
Please enter your Name

Volledige naam bestuurder

Name 2
Please enter the name of your 1st passenger

2e naam

Name 3
Please enter the name of your 2nd passenger

3e naam

Name 4
Please enter the name of your 3rd passenger

4e naam

Address(*)
Please enter your address

Adres

Zip Code(*)
Please enter your postcode

Postcode

City(*)
Please enter your city

Woonplaats

Country(*)
Please enter your country

Land

Phonenumber(*)
Please enter your phone number

Telefoonnummer

E-mail(*)
Please enter your e-mail address

Email

Age driver(*)
Please enter your age

Leeftijd bestuurder

Accommodation in (please select from the following options):
Select accommodation

Invalid input

Select an accommodation to show the options
Selecteer een accommodatie om te opties te tonen

Tent/campervan/caravan Friday
Ongeldige invoer

How many people overnight in own tent/camper/caravan Friday?
The price depends of number of participants per night.
1 person per night € 12,50
2 persons per night € 25,00
3 persons per night € 37,50
4 persons per night € 50,00

Tent/campervan/caravan Saturday
Ongeldige invoer

How many people overnight in own tent/camper/caravan Saturday?
The price depends of number of participants per night.
1 person per night € 12,50
2 persons per night € 25,00
3 persons per night € 37,50
4 persons per night € 50,00

Cabin Friday
Ongeldige invoer

Overnight in a cabin for 4 persons on Friday
per night € 45,00

Cabin Saturday
Ongeldige invoer

Overnight in a cabin for 4 persons on Saturday
per night € 45,00

================================
There are also bungalow tents available. These may be rented online directly using the Juliette Tent Holidays website. Make here your reservation

Er zijn bungalow tenten te huren. De bungalow tent dien je zelf online te reserveren op de website van Juliette Tent Vakanties. Maak hier je reservering
================================
Meals / Maaltijden
Dinnerbuffet on Friday
Ongeldige invoer

How many people go to dinner Friday € 18,50 each
Diner buffet op vrijdag

Barbecue on Saturday
Ongeldige invoer

How many people go to barbecue Saturday € 17,50 each
Diner buffet op zaterdag

Breakfastbuffet on Saturday
Ongeldige invoer

How many people have breakfast on Saturday? € 10,00 per person
Ontbijtbuffet op vrijdag

Breakfastbuffet on Sunday
Ongeldige invoer

How many people have breakfast on Sunday? € 10,00 per person
Ontbijtbuffet op zaterdag

Coffee and Lunch at a stop on the Saturday run
Lunch Saturday
Ongeldige invoer

How many people join the Lunch on Saturday?
€ 10,00 per person
Lunch op zaterdag

Selecteer een shirt: (t-shirt met v-hals / t-shirt with v-neck)
Shirt selection 1
Invalid Input

€ 15.00 each

Shirt selection 2
Invalid Input

€ 15.00 each

Shirt selection 3
Invalid Input

€ 15.00 each

Shirt selection 4
Invalid Input

€ 15.00 each

================================
Note to the organization
Invalid Input

Opmerking voor de organisatie

================================
Overview of costs
Kostenoverzicht
Accommodation €
Invalid Input

Dinner €
Invalid Input

Breakfast €
Invalid Input

Lunch Saturday €
Invalid Input

T-Shirts €
Invalid Input

Rally fee €
Invalid Input

Rally fee € 10,00 per person for the whole rally
Rallykosten € 10,00 per persoon voor de hele rally
Total amount to pay €
Invalid Input

English
Total amount to be paid within 1 month after receiving our final confirmation.
Payment in EURO to NEDERLANDSE ARIEL CLUB. 
All charges to be paid by sender (SHA for SEPA countries). 
IBAN: NL79 INGB 0002 6709 48 – 
BIC (SWIFT-code): INGBNL2A
ING Bank N.V. Foreign Operations, PO Box 1800, 1000 BV Amsterdam

Paypal to paypal@arielclub.nl > 
Use "I'm sending money to family or friends"

Nederlands
Totaalbedrag betalen binnen 1 maand na ontvangst van onze boekingsbevestiging.
Betaling in EURO aan NEDERLANDSE ARIEL CLUB.
Alle kosten voor de betaler (SHA in SEPA landen).
IBAN: NL79 INGB 0002 6709 48
BIC (SWIFT-code): INGBNL2A
ING Bank N.V. Foreign Operations, Postbus 1800, 1000 BV Amsterdam

PAYPAL t.a.v. paypal@arielclub.nl
Gebruik optie "Ik maak geld over naar vrienden of familie"

Please read here the regulations of Annual Rally
Lees alstublieft hier de regels voor de jaarlijkse rally
I agree to the disclaimer(*)
It is mandatory to obey the regulations of the Dutch Ariel rally

Ik ga akkoord met de vrijwaring

Registration form Rally 2019 Sint Oedenrode 17 - 19 mei 2019

Rally 2019 Sint Oedenrode


Please complete this form on computer or tablet, not on a smartphone!

Fields with a (*) are mandatory. (Please note: all information entered will be treated with the strictest confidentiality)

Vul dit formulier in op een computer of een tablet, niet op een smartphone!

Velden met een (*) zijn verplicht. (PS: alle ingevoerde informatie wordt strikt vertrouwelijk behandeld)
Number of participants in your party(*)
Please enter the number, only numbers are allowed

Aantal deelnemers in je groep

Driver's full name(*)
Please enter your Name

Volledige naam bestuurder

Name 2
Please enter the name of your 1st passenger

2e naam

Name 3
Please enter the name of your 2nd passenger

3e naam

Name 4
Please enter the name of your 3rd passenger

4e naam

Address(*)
Please enter your address

Adres

Zip Code(*)
Please enter your postcode

Postcode

City(*)
Please enter your city

Woonplaats

Country(*)
Please enter your country

Land

Phonenumber(*)
Please enter your phone number

Telefoonnummer

E-mail(*)
Please enter your e-mail address

Email

Age driver(*)
Please enter your age

Leeftijd bestuurder

Accommodation in (please select from the following options):
Select accommodation

Invalid input

Select an accommodation to show the options
Selecteer een accommodatie om te opties te tonen

Tent/campervan/caravan Friday
Ongeldige invoer

How many people overnight in own tent/camper/caravan Friday?
The price depends of number of participants per night.
1 person per night € 12,50
2 persons per night € 25,00
3 persons per night € 37,50
4 persons per night € 50,00

Tent/campervan/caravan Saturday
Ongeldige invoer

How many people overnight in own tent/camper/caravan Saturday?
The price depends of number of participants per night.
1 person per night € 12,50
2 persons per night € 25,00
3 persons per night € 37,50
4 persons per night € 50,00

Cabin Friday
Ongeldige invoer

Overnight in a cabin for 4 persons on Friday
per night € 45,00

Cabin Saturday
Ongeldige invoer

Overnight in a cabin for 4 persons on Saturday
per night € 45,00

================================
There are also bungalow tents available. These may be rented online directly using the Juliette Tent Holidays website. Make here your reservation

Er zijn bungalow tenten te huren. De bungalow tent dien je zelf online te reserveren op de website van Juliette Tent Vakanties. Maak hier je reservering
================================
Meals / Maaltijden
Dinnerbuffet on Friday
Ongeldige invoer

How many people go to dinner Friday € 18,50 each
Diner buffet op vrijdag

Barbecue on Saturday
Ongeldige invoer

How many people go to barbecue Saturday € 17,50 each
Diner buffet op zaterdag

Breakfastbuffet on Saturday
Ongeldige invoer

How many people have breakfast on Saturday? € 10,00 per person
Ontbijtbuffet op vrijdag

Breakfastbuffet on Sunday
Ongeldige invoer

How many people have breakfast on Sunday? € 10,00 per person
Ontbijtbuffet op zaterdag

Coffee and Lunch at a stop on the Saturday run
Lunch Saturday
Ongeldige invoer

How many people join the Lunch on Saturday?
€ 10,00 per person
Lunch op zaterdag

Selecteer een shirt: (t-shirt met v-hals / t-shirt with v-neck)
Shirt selection 1
Invalid Input

€ 15.00 each

Shirt selection 2
Invalid Input

€ 15.00 each

Shirt selection 3
Invalid Input

€ 15.00 each

Shirt selection 4
Invalid Input

€ 15.00 each

================================
Note to the organization
Invalid Input

Opmerking voor de organisatie

================================
Overview of costs
Kostenoverzicht
Accommodation €
Invalid Input

Dinner €
Invalid Input

Breakfast €
Invalid Input

Lunch Saturday €
Invalid Input

T-Shirts €
Invalid Input

Rally fee €
Invalid Input

Rally fee € 10,00 per person for the whole rally
Rallykosten € 10,00 per persoon voor de hele rally
Total amount to pay €
Invalid Input

English
Total amount to be paid within 1 month after receiving our final confirmation.
Payment in EURO to NEDERLANDSE ARIEL CLUB. 
All charges to be paid by sender (SHA for SEPA countries). 
IBAN: NL79 INGB 0002 6709 48 – 
BIC (SWIFT-code): INGBNL2A
ING Bank N.V. Foreign Operations, PO Box 1800, 1000 BV Amsterdam

Paypal to paypal@arielclub.nl > 
Use "I'm sending money to family or friends"

Nederlands
Totaalbedrag betalen binnen 1 maand na ontvangst van onze boekingsbevestiging.
Betaling in EURO aan NEDERLANDSE ARIEL CLUB.
Alle kosten voor de betaler (SHA in SEPA landen).
IBAN: NL79 INGB 0002 6709 48
BIC (SWIFT-code): INGBNL2A
ING Bank N.V. Foreign Operations, Postbus 1800, 1000 BV Amsterdam

PAYPAL t.a.v. paypal@arielclub.nl
Gebruik optie "Ik maak geld over naar vrienden of familie"

Please read here the regulations of Annual Rally
Lees alstublieft hier de regels voor de jaarlijkse rally
I agree to the disclaimer(*)
It is mandatory to obey the regulations of the Dutch Ariel rally

Ik ga akkoord met de vrijwaring