PUBLICITY INFORMATION SHEET

PLEASE SPECIFY WHICH EVENT ENTERED

 

Driver

Co-Driver

Name

Nationality

Age

Occupation

Married

Family

Hobbies-excluding rallying

How long rallying

Most noticeable result

Done Pirelli Before

Best result on The Pirelli

Relevent media Information

 

Make

Model

Competing Car

Principal
Sponsor(s)

Any other
details ?

Email


Enter Security Code:

<% If (Request.QueryString("hdwmsg") = "invalid") Then Response.Write chr(60) & "font color=red" & chr(62) & "Please, enter the correct security code." & chr(60) & "/font" & chr(62) %>