Driver’s Name: Post Address: Post code: Town: Email address: GSM: passagers (first name and last name for badges): Adult (s) : Child (ren) Car (*before – to : contact@ava.bzh 1975) please send us a photo (minium quality 300ko) by email Make: Type: Year: Engine capacity and BHP: Put an X to confirm your choice : Tour d’Elegance registration 15 - Saturday morning 9.30 am € TOTAL Registration fees are 15 for the car and 2 persons (non non refundable after april, the 30th) € Includs : 2 Saturday lunchs for two, rallye plaque, road book 15 € Programme : 9h30 : Meeting in Port Breton, Dinard (including Concours d’Elegance’s cars) (badges, rallye plates, road book, trip around 50km 1.00 pm : lunch 3.00 pm : Parade in Dinard More details in the confirmation by mail. The Tour d’Elegance is limited to 80 cars. Please return application form - by check to the order of « L’AVIV », Franck Huard 3 La Besnaruais 35420 La Bazouge Du Desert – – - by bank transfer ** Crédit Agricole Ille et Vilaine - IBAN : FR76 1360 6000 4603 5636 3400 242 - BIC : AGRIFRPP836 ** bank transfert : do not forget to indicate your name car and year of the car – Date : Signature
Driver’s Name: Post Address: Post code: Town: Email address: GSM: passagers (first name and last name for badges): Adult (s) Child (ren) : Car (*before 1975) – please send us a photo (minium quality 300ko) by email to : contact@ava.bzh Make: Type: Year: Engine capacity and BHP: Put an X to confirm your choice : TOTAL 15 € Tour d’Elegance registration 15 € - Saturday morning 9.30 am Registration fees are 15 € for the car and 2 persons (non non refundable after april, the 30th) Includs : 2 Saturday lunchs for two, rallye plaque, road book Programme : 9h30 : Meeting in Port Breton, Dinard (including Concours d’Elegance’s cars) (badges, rallye plates, road book, trip around 50km 1.00 pm : lunch 3.00 pm : Parade in Dinard More details in the confirmation by mail. The Tour d’Elegance is limited to 80 cars. Please return application form - by check to the order of « L’AVIV », Franck Huard – 3 La Besnaruais – 35420 La Bazouge Du Desert - by bank transfer ** Crédit Agricole Ille et Vilaine - IBAN : FR76 1360 6000 4603 5636 3400 242 - BIC : AGRIFRPP836 ** bank transfert : do not forget to indicate your name – car and year of the car Date : Signature