UIM-ABP AQUABIKE EUROPEAN CHAMPIONSHIP – GRAND PRIX OF POLAND
Ełk, 23rd-26th JUNE 2022

REGISTRATION FORM

To be filled in all parts.

RIDER

Family Name:

First Name:

Date of birth:

Requested Racing Number:

Contact Number:

E-mail: / Your e-mail address to receive a confirmation

Watercraft Brand

National License Number/Country

EUROPEAN RACING CATEGORIES

SKI DIVISION GP1SKI DIVISION GP2SKI DIVISION GP3SKI LADIES GP1SKI JUNIORS GP3.3SKI JUNIORS GP3.2RUNABOUT GP1RUNABOUT GP2RUNABOUT GP4RUNABOUT JUNIOR GP4RUNABOUT WOMEN GP4RUNABOUT VETERANS GP1FREESTYLE

PAYMENTS

Register fee: 200 EUR

Extra categoty: 200 EUR

ADDITIONAL MANDATORY PAYMENTS

Paddock fee: 100 EUR / after 11.06: 150 EUR

Deposit account number IBAN: PL 95 1020 4724 0000 3002 0144 6871 / SWIFT: BPKOPLPW

In the transfer title, insert: first name, surname, start number