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Entry Form

Subscriptions opens at January 21th.

Fill and Send the Entry Form to:
TOP srl
Via Fratelli Bandiera, 38/a
33170 PORDENONE - ITALIA
Tel. +39 0434 208484 - FAX +39 0434 208154

Payment:

RACE PAYMENT DETAILS
ITALIANBAJA 2012 World Cup & Nazionale
(Group T1/T2 FIA e Group T2 CSAI /T3/TH/TM/T4 )

 

   

With swift bank transfer:
Name of the Bank: Banca di credito Cooperativo Pordenonese
Agency of: Filiale di Pordenone – Pordenone – Italia
Address: Via Mazzini – 33170 – Pordenone
Account name: TOP S.r.l.
Account: 131002
ABI: 08356
CAB: 12503
SWIFT Code: ICRAITRR9WO
IBAN: IT78I0835612503000000131002
ITALIANBAJA 2012 FIM World Cup
(UEM/FMI)

 

       

With swift bank transfer:
Name of the Bank: Banca di credito Cooperativo Pordenonese
Agency: Filiale di Pordenone – Pordenone – Italia
Address: Via Mazzini – 33170 – Pordenone
Account name: Fuoristrada Club 4x4 Pordenone
Account: 24944
ABI: 08356
CAB: 12503
SWIFT Code: ICRAITRR9WO
IBAN: IT18K0835612503000000024944

Reason for Payment: Italian Baja 2012 + DOX Nr. + First Driver Name

THE ENTRY FEE PRICES ARE AVAIBLE IN THE EXTRACT OF THE REGULATIONS