VW-Veteranen-Treffen 2015 - Lottermann VW-Veteranen

Application form for the
10 Int. Bad Camberger VW-Veteranen-Treffen
June, 19th to 21th 2015
th
Name, First Name
Model
Address
Chassis number
Postal code
License plate number
Country
Email address
Year
Details of your VW
Please send this form as an email to [email protected]
and attach a recent photo of your car showing its authenticity - this is absolutely essential!
Your registration will be confirmed by the organizer – after payment has been received - by being published
in the participants list at www.lottermann-veteranen-treffen.de .
Entry fee is 60 EUR per vehicle.
Bank details:
Account holder
Bank
IBAN:
BIC/Swift:
Note to payee:
Michael Lottermann
Vereinigte Volksbank eG Limburg
DE31 5119 0000 0050 9506 03
GENODE51LIM
VW Treffen 2015
(if payer is not the participant please include driver's/participant's name)
Liability disclaimer:
Participation in the meeting is at your own risk.
According to civil and penal law you are responsible for any damage caused by you or a car driven by you –
including direct and indirect damage.
Any liability on part of the organizer towards the participants for material or personal damages is excluded.
By returning this form you are agreeing to the terms and conditions as above.
There will be no refund of entry fee if you are unable to attend and we reserve the right to modify the
programme without notice.
I have read the conditions of the meeting liability disclaimer and agree to observe the driving regulations
during the event.
Place
Date
Signature