I hereby apply to take part in the Spa Six Hours Endurance Race.
After sending this form, you will receive by e-mail a written confirmation of your entry, requesting the entry fee, copy of the 1st page of the car's FIA Historic Technical Passport, and some other necessary details.

		ENTERED CAR
Make
Type
Year
Cubic cap.
Group		Select Touring GT GTS GTP
		DRIVER 1
Name
Nationality
Address
Post Code
Town
Country
Phone
Fax
E-mail
		DRIVER 2 (if already known)
Name
Nationality
E-mail
		DRIVER 3 (if already known)
Name
Nationality
E-mail
		COMMENTS