ENTRY FORM

  1. 1
    Input
  2. 2
    Confirm
  3. 3
    Complete
PARTICIPATING CAR

Car manufacturer name
Car model name
Year of manufacture
Vehicle identification number (VIN)
Engine displacement
Registration number
Vehicle inspection expiration date
Car color/Country of manufacture
DRIVER

Name
Date of birth
※Please provide in the Gregorian calendar
Address
TEL
FAX
Mobile phone
E-Mail
JAF membership status

■ CO-DRIVER

Name
Date of birth
※Please provide in the Gregorian calendar
Address
TEL
FAX
Mobile phone
E-Mail
JAF membership status

■ Emergency contact

DRIVER
Name
TEL
CO-DRIVER
Name
TEL
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