Hard offroad XSPORTS
VPISNI LIST ____________
VOZNIK/PILOTA:
IME/NOME: ______________________________
PRIIMEK/COGNOME: _____________________________________
NASLOV/VIA, CITTA: ______________________________________________________
KRAJ IN DATUM ROJSTVA/: _____________________________________________
DATA E LUOGO NASCITA
TELEFON: _______________________ E-MAIL: _____________________________
TELEFONO
SO-VOZNIK/CO-PILOTA:
IME/NOME: ______________________________
PRIIMEK/COGNOME: _____________________________________
NASLOV/VIA, CITTA: ______________________________________________________
KRAJ IN DATUM ROJSTVA/: _____________________________________________
DATA E LUOGO NASCITA
TELEFON: _______________________ E-MAIL: _____________________________
TELEFONO
VOZILO/VEICOLO:
ZNAMKA/MARCA: ____________________________
TIP/TIPO: _______________________________
KLUB/CLUB: __________________________
XSPORTS
VOLCJA DRAGA 81
5293 VOLCJA DRAGA
Name bank:
Nova Ljubljanska banka d.d.
Trg republike 2
1520 Ljubljana
IBAN: SI56 0224 1025 4801 536
BIC koda: LJBASI2X
INFO :
TEL 0038651619303
eriks@intra.si
ANMELDEFORMULAR XSPORTS 2013
PILOT
VORNAME______________________NACHNAME_____________________
STADT_____________________
TEL._______________________
E-MAIL_____________________
CO PILOT
VORNAME___________________NACHNAME________________________
STADT______________________
TEL.________________________
E-MAIL______________________
XSPORTS
VOLCJA DRAGA 81
5293 VOLCJA DRAGA
Name bank:
Nova Ljubljanska banka d.d.
Trg republike 2
1520 Ljubljana
IBAN: SI56 0224 1025 4801 536
BIC koda: LJBASI2X
TEL 0038651619303
eriks@intra.si