Bleekemolens Race Planet | Indoor Karting - Circuit incentives

Our site requires Flash, a "plug-in" that works with your browser. Your computer does not appear to have a recent version of Flash installed. If you would like to get Flash, it's a quick download from the Flash website at adobe.com. After installing Flash return to raceplanet.nl and you will be able to view the site.

If you do not wish to install Flash, we have provided links below to our pages for your convenience.

Home	Indoor Karting	Zandvoort Incentives	Racing School	Race Planet for Kids	Race Planet on location	Autosport
	Amsterdam	Individual		Amsterdam
	Delft	Group Incentives		Mijdrecht
	Mijdrecht	Prices
		Directions
		Contact

Use this form to register for one of our activities at Circuit Park Zandvoort. We will, if necessary, contact you as soon as possible. Within a few days we will send you a confirmation of your reservation.

The * marked fields are required! Please send us an email if you have any questions or if you wish to make a comment.

Participant Information

First Name:

Surname:

Does the participant know of his/her participation?		Yes No

My preference is for a day in:		March / April
		May / June
		July / August
		September / October
		November

Would like to participate together with:

I would to sign up for:

Race Experience (Coca-Cola Zero Race Experience) (€ 275.00 incl. VAT)

Ultimate Experience (BP Ultimate Experience) (€ 395.00 incl. VAT)

Extreme Experience (€ 465.00 incl. VAT)

Porsche VIP package (€ 355.00 incl. VAT)

Lamborghini VIP package (€ 485.00 incl. VAT)

Ultimate VIP package (€ 545.00 incl. VAT)

Extreme VIP package (€ 595.00 incl. VAT)

Flying lap, go round the track at top speed with an experienced racing driver (from € 70.00 incl. VAT)

Safe Driving (€ 160.00 incl. VAT)

Special offers and Promotions

Please specify if you have a promotional code or discount coupon.

Note: We cannot provide the discount if you leave this field blank. You need the bring the coupon on the day of the event.

Participant data

(all correspondence will bes end to this address)

First name: *

Surname: *
Address:*:
Postal code* & City*:
Telephone (daytime): *
Telephone (nighttime):
E-mail address: *
Comments:

Together with the confirmation we will send you an invoice. The invoice must be paid at least three weeks prior to the event.

By sending the registration form the participant agrees to the terms and conditions of Circuit Park Zandvoort Incentives by Michael Bleekemolen BV. Participation is at your own risk. Every participant must hold a valid drivers license. There is no admission charge for spectators. Please contact us if you have any further questions. Our office is open on weekdays between 09:00 and 17:00 hours. Telephone: +31 (0)85-2737 390.

Where did you find out about Bleekemolens Race Planet?

	Internet search engine
	Internet ad
	Newspaper ad
	Other event, fair or tradeshow.
	Please specify
	Friends or family

	Other

banner