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

REGISTRATION FEES

(excluding 5% VAT)

Le Mans 60s:	€6,000
Formula One 70s+:	€6,000
Le Mans 80s+:	€6,000
Le Mans 00s:	€6,000
Formula One 90s:	€2,000

Car’s Owner

First name*

Family name*

Nationality*

Address line 1*

Address line 2

City/town*

Zip code*

Country*

Phone number*

Email address*

Team

Team name (written on the licence)*

Website

Official team commercial name*

Name of the official team representative*

Function*

Phone number for team chat’

Email address*

Finance department

Contact name*

Phone number*

Email address*

Billing address*

VAT number

Car

Prefered race number (1 to 999)

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 1985 to 1999}
Le Mans 00s ^{FIA World Endurance Championship and IMSA cars from 1994 to 2010}

Category*

Car model*

Engine*

Car year*

Chassis number*

Driver 1 Name* Surname* Phone* Email address* International license number* Nationality*

Bicycle Race

2 laps of the Dubai Autodrome Circuit.
2 categories and podium ceremony. Bicycles and Jersey will be provided. AED200 / driver

I wish to participate Bicycle Race

Driver 2 Name* Surname* Phone* Email address* International license number* Nationality*

I wish to participate Bicycle Race

Driver 3 Name* Surname* Phone* Email address* International license number* Nationality*

I wish to participate Bicycle Race

Attachments

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

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. In case of Force Majeure with valid documentation, no charge will be made for cancellation until 4th of October 2023. After this date, the entry fee will serve as credit for the 2024 event.

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

Eléonore Joulie

[email protected] +33 6 85 60 38 77