Registration Form

70 Jaar 2CV

Belgium, Ranst - 08/08/2018 till 12/08/2018

Driver

Car

Goody bag

T-shirt

XS

S

M

L

XL

XXL

XXXL

M

F

Registration fees

Day visit (+12 years, car on parking)

€ 5,00 / pp

Citroën 2CV, A-Type (Dyane, Mehari, Ami, etc), H van

€ 70,00

Citroën before 27/07/1990

€ 70,00

Citroën after 27/07/1990 (not allowed on the campsite)

€ 90,00

Other vehicle (not allowed on the campsite)

€ 100,00

Registration

Your registration is only valid after receiving the payment!
Deposit the registration fee before 1/07/2018 on the bank account below!

Contact address

NAME

70 Jaar 2CV

ADDRESS

Pastoor Geptsstraat 11

CITY

2360 Oud-Turnhout, Belgium

MAIL

registration@70jaar2cv.be

Bank details

IBAN

BE81 1325 8035 9024

BIC

BNAGBEBB

NAME

70 Jaar 2CV

MESSAGE

Your name - Licence plate - 70 Jaar 2CV

You can also pay with PayPal on paypal.me/70jaar2cv.
Add the comment "Your name - Licence plate - 70 Jaar 2CV".
Do not select the goods or service checkbox.

We will send an email with the confirmation of your registration!

(Your data will not be shared and is only used to register to the event.)