Vormerkung

Please fill out this form only if you have never received our brochures before!

This is no nomination for the Seiberer-award-of-the-mountain. Registration for participation is only up in February and March!

Personal data

Salutation: Mr. Ms.

Titel/First name:

Last name:

Address:

Post code^*)/Town:

^*) Please no country sign!

Country:

Telephone:

Email:

Email (Check):

Your car

Model:
other Model:

Type:

Licence plate:^*):

^*) eg "W-24929R".

Capacity/Power/Year^**):

^**)ccm/HP, not KW!/Year of construction please only the year (eg "1966")

Announcement

Please enter the announcement to be read at the race:

Your Club

My Oldtimerclub:
other:

Security check

Seit wann gibt es den Seiberer in der derzeitigen Form:

Display and Mailing

Display in Contestants- und Resultlist:

I agree to receive information by email or post.
With my consent, I authorize the Erster Österreichischer Kleinwagen Club (EOKC) to electronically store and use my data provided with my registration to send me information about club activities and events via e-mail, fax, SMS, telephone, letter, MMS, messenger services or social networks.

I can revoke my consent at any time by writing to info (at) seiberer.at or postal mail (to the address given in the imprint) with the effect that I will no longer receive any of the aforementioned information.