DRAG NIGHT REGISTRATION FORM

CLASS.

CAR - Bracket 9. 600,000.00 IDR

T-Shirt

CAR - Bracket 10. 600,000.00 IDR

T-Shirt

CAR - Bracket 11. 600,000.00 IDR

T-Shirt

CAR - Bracket 12. 600,000.00 IDR

T-Shirt

CAR - Bracket 13. 600,000.00 IDR

T-Shirt

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

T-Shirt

CAR - 3 Series Turbo. 600,000.00 IDR

T-Shirt

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

T-Shirt

CAR - 5 Series Turbo. 600,000.00 IDR

T-Shirt

CAR - M Series. 600,000.00 IDR

T-Shirt

CAR - Special Class Mini. 600,000.00 IDR

T-Shirt

MOGE 7 seconds 600cc up 600,000.00 IDR

T-Shirt

MOGE 8 seconds 600cc up 2 600,000.00 IDR

T-Shirt

MOGE 9 seconds 600cc up 3 600,000.00 IDR

T-Shirt

Total 0.00 IDR

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.