Entry Form

Dear Competitor,

Please fill in the form (one per car) and submit it with the requested documents below:

– copy of insurance policy
– copy (both sides) of team licence
– copy (both sides) of drivers licence
– copy of the car’s HTP
– picture of the car
– proof of payment

EARLY BIRD REGISTRATION FEES*

(excluding VAT)

Le Mans 60s:	~~€6,000~~	€5,000
Formula One 70s+:	~~€6,000~~	€5,000
Le Mans 80s+:	~~€6,000~~	€5,000
Le Mans 00s:	~~€6,000~~	€5,000
Formula One 90s:	€2,000	no early bird

*For the first 25 cars registered

Car’s Owner

First name* Address line 1* Zip code* Email address*

Family name* Address line 2 Country*

Nationality* City/town* Phone number*

Team

Team name (written on the licence)* Name of the official team representative* Phone number for team chat’

Website Function* Email address*

Official team commercial name*

Finance department

Contact name* Billing address*

Phone number* VAT number

Email address*

Car

Prefered race number (1 to 999) Engine*

Le Mans 60s ^{Pre 66 GT, GTP and Touring Cars, Pre 61 Sports cars, and Pre 66 Sports Cars up to 2.0L from 1952}

Le Mans 60s ^{Pre 66 GT, GTP and Touring Cars, Pre 61 Sports cars, and Pre 66 Sports Cars up to 2.0L from 1952}
Formula One 70s+ ^{From 1970 to 1985}
Le Mans 80s+ ^{Group C, IMSA and GTP cars from 1982 to 1993}
Formula One 90s ^{From 1987 to 1994}
Le Mans 00s ^{FIA World Endurance Championship and IMSA cars from 1994 to 2010}

Category*

Car year*

Car model* Chassis number*

Driver 1 Name* Surname* Email address* International license number* Nationality* I wish to participate Bicycle Race

Driver 2 Name* Surname* Email address* International license number* Nationality* I wish to participate Bicycle Race

Driver 3 Name* Surname* Email address* International license number* Nationality* I wish to participate Bicycle Race

Bicycle Race

2 laps of the Dubai Autodrome Circuit.
2 categories and podium ceremony. Bicycles and Jersey will be provided.

AttachmentS

Copy of insurance policy* Copy of the car’s HTP*

Copy (both sides) of team licence* Picture of the car*

Copy (both sides) of drivers licence*

Payment

Payment to be made by Bank Transfer only – Please specify the team’s name in the bank transfer details. Registration fees must be before October 31th 2023, a 25% extra fee will be charged after this date.

Bank details (to be invoiced)

Account Name: GPX SPORTS EXHIBITIONS ORGANIZING CO LLC

Please include a copy of your bank transfer to GPX SPORTS EXHIBITIONS ORGANIZING CO. L.L.C corresponding to the full amount due.

Please note that the registration will only be confirmed once the full payment is received which is then non-refundable and non-transferable.

ENTRY DEADLINE : October 31th 2023 including proof of payment and copy of insurance policy

I herebry grant permission to the Gulf Historic organisation to communicate about my entry

The owners of the cars taking part in this event must have taken out the appropriate civil responsibility third-party insurance.

The guarantees undertaken must cover, amongst other items, the financial consequences of civil liability claims which could fall on the insurer due to the use of their car(s) on a circuit, excluding all participation in an event or practice sessions subject to the authorisation of the public authorities. Drivers will have to sign a liability waiver during administrative checks.

I declare that I will hold GPX SPORTS EXHIBITIONS ORGANIZING CO. L.L.C and the blameless in the case of any corporal or material damage to my vehicle, to myself or to any other third party whatsoever.

FULL NAME: SIGNED ON AT:

I hereby certify that all drivers will complete the administrative checks before getting in the car and that all drivers and teams will comply with the graphical charter in terms of official logos.

GPX SPORTS EXHIBITIONS ORGANIZING CO. L.L.C reserves the right to accept or reject any registration.

Contacts

Zoé André

[email protected] +971 50 185 0004