• ENTRANT *
    Team Name * Nationality * Competition licence No. * Issued by *
    address *      This is the mailing address E-mail *
    phone (business)* phone (private)* Fax* Mobile*
      Please enter the phone and fax numbers in international format (e.g. +35850XXXXXXXX).
  • 1-Driver *
    First name * Surname * Date of birth * Nationality *
    Driving licence No. * Issued by * Competition licence No. * Issued by *
    address *      This is the mailing address Passport No. E-mail *
    phone (business)* phone (private)* Fax* Mobile*
      Please enter the phone and fax numbers in international format (e.g. +35850XXXXXXXX).
  • 1-CoDriver *
    First name * Surname * Date of birth * Nationality *
    Driving licence No. * Issued by * Competition licence No. * Issued by *
    address *      This is the mailing address Passport No. E-mail *
    phone (business)* phone (private)* Fax* Mobile*
      Please enter the phone and fax numbers in international format (e.g. +35850XXXXXXXX).
  • DETAILS OF THE VEHICLE *
    Make * Model * Year of manufacturing Group & Class *
    Cubic capacity * Chassis No * Engine No. Predominant color
    Registration No. * Country of registration * FIA homologation No. * Technical passport No. *
  • ENTRY FEES *
    Type of Entry With optional advertising Without optional advertising Closing date
    Private (aboard the vehicle). 1000.- U.S. Dollars ( $ ) 1750.- U.S. Dollars ( $ ) Wednesday, June 20th @17:00,2018
    Legal entity 1750.- U.S. Dollars ( $ ) 3500.- U.S. Dollars ( $ ) Wednesday, June 20th @17:00,2018
  • PAYMENT MODE *
    payment mode * document No. ASN authorization* payment proof attachment *
    - For the Entry to be valid, the payment proof should be attached in the payment mode* section.
    - The Entry approval will be final upon receiving the transferred amount in our bank account. (in case of bank transfer)
  • DECLARATION OF INDEMNITY *
    I/We the undersigned hereby declare that I/we take part in the 41st Rally of Lebanon at my/our own risk. I/We will not hold the Organiser, its Officials, The Automobile and Touring Club of Lebanon or the FIA responsible for any accidents, injuries etc. occurring during the rally. I/We have knowledge of and undertake to follow regulations and rules governing the event, as well as instructions and decisions of the Stewards of the Meeting.
    I Agree
  • ACKNOWLEDGEMENT AND AGREEMENT *
    I/We the undersigned hereby declare that all the information contained on this form and to the best of my/our knowledge and belief are true and correct in every particular. Nevertheless, I/we acknowledge that I/we have read the above declaration of indemnity and I/we accept all the terms and conditions relating to the participation in the 41st Rally of Lebanon and agree to be bound in full by them.
    I Agree