2018

VARANO DE’ MELEGARITRACK

(Parma - Italy)11th - 12th - 13th MAY

REGISTRATION FEESRiders with at least one motorcycle built prior to 1918 euro 70ASI Member riders euro 140Foreign riders euro 220Non ASI Member riders euro 250Companion (italian o foreign) euro 50Sidecar passengers must register and pay half the riders' fee.

PAYMENT (BY BANK TRANSFER MADE OUT TO)

RECIPIENT: ASI - Automotoclub Storico ItalianoBANK: Banca del Piemonte TURIN HEADQUARTERSIBAN CODE: IT61A0304801000000000092301SWIFT: BDCP IT TTREASON FOR PAYMENT: ASI MotoShow 2018(REGISTRATION + PARTECIPANT’S NAME AND SURNAME)All bank charges must be borne by the participant. To this end, please tick the relevant box on the transfer order.

RIDERName......................................................... Surname....................................... Luogo e data di nascita..............................................................

Address...................................................................... City........................................................ Code.............................. State............................

Tel..................................... Mobile.................................. Fax..................................... e-mail................................................................................Club ASI (if Member).............................. Card ASI n°.................................. Driving Licence n°................................... Release date..................

Expiry......................................... COMPANION (name and surname)....................................................................................................................MOTORCYCLE 1 Make.......................................... Model............................................. Engine cylinder capacity........................ Year..................

Serial number.......................................... Engine number................................................... FIVA IDENTITY CERTIFICATE NUMBER.............................. (ATTENTION! Motorcycle without FIVA Identity Certificate: enclose two 1Ox15 pics (left and right); if the motorcycle has a fairing, also add two pics of the engine (left and right)HAS THE MOTORCYCLE ALREADY PARTICIPATED IN ASI MOTOSHOW PAST EDITIONS? YES.................... YEAR.................. NO...............

MOTORCYCLE 2 Make.......................................... Model............................................. Engine cylinder capacity........................ Year..................

Serial number.......................................... Engine number................................................... FIVA IDENTITY CERTIFICATE NUMBER.............................. (ATTENTION! Motorcycle without FIVA Identity Certificate: enclose two 1Ox15 pics (left and right); if the motorcycle has a fairing, also add two pics of the engine (left and right)HAS THE MOTORCYCLE ALREADY PARTICIPATED IN ASI MOTOSHOW PAST EDITIONS? YES.................... YEAR.................. NO...............

DECLARATIONThe undersigned ............................................................. declares to have read the Event Rules on www.asifed.it and hereby accepts them.Place ................................................. Date ..................... Legible signature .........................................................................................................................The undersigned ........................................................................ in compliance with Art 1341 of the Civil Code, declares to expressly accept clauses 2-5-6-7 of the Event Rules.Place ................................................. Date ..................... Legible signature .........................................................................................................................The undersigned .................................................................... in observance of Privacy Law n. 196 of June 30, 2003, authorizes use of his/her personal data.Place ................................................. Date ..................... Legible signature .........................................................................................................................

The data listed above will be processed by ASI Automotoclub Storico ltaliano,Villa Rey, Strada Val San Martino Superiore 27, 10131 Torino (Italy)

Registrationdeadline

MARCH 30th, 2018ASI MOTOSHOW 2018 REGISTRATION FORM (please, write in capitals)

tel. +39.331.4795403 info@asifed.it www.asifed.it

CLOTHING! Check the Rules of the Event (point 2) on thewebsite www.asifed.it

EVENT PROGRAMvisit www.asifed.it

REGISTRATION TERMS AND PROCEDUREEach rider can register a maximum of two motorcycles built before 1995. Registration includes participation in the Event, the gala dinner and gadgets. If the motorcycle has not the FIVA Identity Certification, please include two photographs of the motorcycle (1Ox15 cm format, on a neutral background, left and right sides). If the motorcycle has a fairing, also add two photographs of the engine (right and left sides). Sidecar passengers are considered riders and are therefore required to fill out the registration form and pay half the riders' fee. Payments must be made by bank transfer. Registration forms must be mailed by March 30th, 2018 to the following address: ASI Automotoclub Storico ltaliano, Villa Rey, Strada Val San Martino Superiore 27, 10131 Torino (1). Registrations will be accepted at the discretion of the Board of Examiners (until all available places are f illed), and only if correctly f illed out and accompanied by a copy of the receipt of payment. The ASI off ice will send notif ication of admission to the Event. If registration is not accepted, the registration fee will be completely reimbursed.