DRAG NIGHT REGISTRATION FORM

CLASS.

CAR - Bracket 9.600,000.00IDR

T-Shirt

CAR - Bracket 10.600,000.00IDR

T-Shirt

CAR - Bracket 11.600,000.00IDR

T-Shirt

CAR - Bracket 12.600,000.00IDR

T-Shirt

CAR - Bracket 13.600,000.00IDR

T-Shirt

CAR - 3 series N/A.600,000.00IDR

T-Shirt

CAR - 3 Series Turbo.600,000.00IDR

T-Shirt

CAR - 5 series N/A.600,000.00IDR

T-Shirt

CAR - 5 Series Turbo. 600,000.00IDR

T-Shirt

CAR - M Series.600,000.00IDR

T-Shirt

CAR - Special Class Mini.600,000.00IDR

T-Shirt

SBK 600cc - 800cc 4cyl600,000.00IDR

T-Shirt

SBK 800cc - 1400cc 4cyl600,000.00IDR

T-Shirt

FFA SBK open600,000.00IDR

T-Shirt

Bracket SBK 7 Second600,000.00IDR

T-Shirt

Total 0.00IDR

RACER.*

E-MAIL*

example@example.com

MOBILE NO.*

CHAPTER/REGISTER/COMMUNITY*

Ex : Surabaya/E30/E46ID

TIPE CAR/MOGE*

Ex : 318i E30

TIPE ENGINE*

Ex : M52B28

REGISTRATION EACH CLASS.

Pre Sale Rp 600.000,- ( until October 23rd, 2019 )

Reguler Rp 700.000,- ( 23 Oktober - 22 November 2019 )

Paddock IDR 500.000,- per Slot (no later than22 Oktober 2019)

INFORMATION

Scrutinering + Re-registration, November 22nd, 2019. 08:00 AM.

Technical Meeting, November 23rd, 2019. 10:00 AM.

Qualification, November 23rd, 2019. 08:00 PM.

Race Start, November 23rd, 2019. 09:00 PM.

Registration Fee Please immediately be transferred to the account number:

Bank Name : Bank Rakyat Indonesia (BRI).

Accoutn Number : 0006.01.001432.30.7

Beneficery Name : BMW CAR CLUBS INDONESIA SURABAYA CHAPTER

(please attach proof of payment to Jotform)

More Information.

Rachmad Budi Eryanto (Idub) +6282330228911

Rachmad Wijaya +6282382002000

PROOF OF PAYMENT*

Browse Files

DRAG NIGHT REGISTRATION FORM.