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
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