Circuit de Catalunya

Members

Personal details:

Name & surname:

Address:

Post code:

Town:

Date of birth:		Id no.:		E-mail:
Phone no.:		Cell Phone:		Fax:

Type:

Member:

Grandstand Member:

Category:

Junior:

Adult:

Senior:

Mode:

	RACC member/Beneficiary		Non-RACC member
	(enclose copy of card)

Language:

Catalan

Spanish

Grandstand :
(only if you choose the Grandstand Member option)

	Main High	C	H
	Main low	E	J
	A	F	K
	B	G	M
			N
The Circuit will assign you the best row and seat available on the stand chosen.

Bank standing order:

Name of bank:

BANK CODE	BRANCH No.	C.D.	ACCOUNT NUMBER

I hereby authorize Circuits de Catalunya, S.L. to charge the annual Circuit de Catalunya Membership fee to my current account.

Credit card *:

I hereby authorize Circuits de Catalunya, S.L. to charge the amount due for my first Membership payment to my credit card.

VISA:

MASTERCARD:

EUROCARD:

CARD NUMBER	EXPIRY DATE

* If payment by credit card is chosen for the initial quota, your bank particulars must also be filled in.
The Member accepts that he has been informed by Circuits de Catalunya S.L. that there is an automated file of personal data created by the Circuit de Catalunya, in order to maintain and manage the relation between the Member and Circuits de Catalunya S.L., as well as the management of information, commercialisation and other activities concerning to the Circuit.

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