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INDIVIDUAL ARRANGEMENTS / RACE COURSES
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
 
 
 
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