1. Healthcare

DS
May 23rd-24th, 2015
FORM
© Ingo Herminghaus.
R E G I S T R AT I O N
The Driver
International gathering
The Citroen DS
60th anniversary
NameFirst name
Address
Postal codeCity/TownCountry
Phone numberEmail
The Passengers
Children under 12 are admitted free of charge.
Name
First name
Date of birth
Name
First name
Date of birth
Name
First name
Date of birth
Name
First name
Date of birth
The Vehicle
Only fully operational DS/ID will be accepted on the event site.
Others vehicles & trailers can be parked in the visitor parking close to the event site.
Permission to enter the site can be granted to non running DS/IDs under restoration,
in order to be unloaded.
Model (ex. ID, DS 21, D Super, etc.)
Year
Body type (ex. Saloon, Station wagon, Convertible, etc.)
Summary
Fees includes all taxes
BEFORE March 15th, 2015
AFTER March 15th, 2015
Number of attendees more than 12 years old
x 90 € = €
x 110 € €
Number of attendees under 12 years old
x0€=
0 €
x 0 €
0 €
Number of reservations at the gala dinner
x 60 € = €
x 60 €
€
Number total of attendees
Total registration fees
€
€
Payment must be sent along with registration necessarily before May 9th, 2015 to the address on the back of the page
£ Cheque drawn on a French bank only payable to “Le Monde de la DS”
£ Money transfer (please, join a copy of the proof of transfer)
R
IB : 30066 – 10451 – 00020204001 – 51
BIC : CMCIFRPP
IBAN : FR7630066104510002020400151
This registration is all inclusive (see list below).
The organizers retains the right to limit reservations depending on the number of vehicles & attendees after March 15th, 2015.
Please visit our website www.lemondedelads.com. For any information about the event, please email at: [email protected]
For informations about the registration, please email at: [email protected]
Any registration form sent after 10th may 2015 will not be accepted.
This event is only with pre registrations.
Le
Monde de la DSe
Registration during the event will be not accepted.
60 anniversaire
Please see other side...
www.lemondedelads.com
International gathering
The Citroen DS
60th anniversary
© Ingo Herminghaus.
DS
May 23rd-24th, 2015
The registration fees includes:
• Free access to the site of the meeting and safe parking, security for your vehicles during
the 2 days of the event, at Montlhéry racetrack & Paris;
• A welcome bag will be delivered including (among other things): The program
of the gathering, the sticker of the event to display inside the windscreen, the individual
identification bracelets, various promotional goodies & souvenirs of the event, tourist
brochures & visitor’s route map of Paris, the surrounding regions, information about
accommodation, restaurants…
• You’ll receive a commemorative plate of the rally;
• Access to all the activities organized on the racetrack;
• The possibility to picnic, using the facilities of the site;
• Access to the conference about the DS saga, to the elegance contest;
• Free access to the spare parts market, to the shops and activities on the racetrack;
• Access to the restaurants & snack food (paying) planned on the site;
• Free access to the auction sale of prestigious models of DS and SM;
• An aperitive with live band;
• A gala dinner in Montlhéry, exclusively for attendees having selected and paid for this
option on page 1;
• A place into the parade in Paris ending at the Tuileries gardens
(subject to permission of the Paris Authorities);
• Access to the Exhibition organized for the 60th Anniversary of the DS at the Tuileries
gardens, Paris;
• A brunch offered in the Tuileries garden.
The registration will be complete only when the payment is received.
The registrant (driver) guarantees hereby that:
People
• Are citizen of the European Union, regarding the law of
right to freedom of movement or have legally entered
territory of the French Republic;
• The driver has a valid driving license and is not subject
to revocation or suspension under the international
laws of road traffic.
DATE
The vehicle
• Is duly insured for third party liability;
• fulfills the necessary technical and legal conditions
for driving in the territory of the French Republic
SIGNATURE of the driver implies acceptance of the current requirements.
PLEASE SEND THIS REGISTRATION FORM DATED, COMPLETED & SIGNED BEFORE 9th MAY, 2015 WITH YOUR PAYMENT
(CHEQUE DRAWN ON A FRENCH BANK ONLY OR PROOF OF THE MONEY TRANSFER) PAYABLE TO “LE MONDE DE LA DS”
TO:
Le Monde de la DS
Mrs Sandra CAMPO
8 chemin Scribe
BAT A - ESC 2
92190 MEUDON
FRANCE
Le Monde de la DSe
60 anniversaire
For any information about the event, please email at:
[email protected]
For informations about the registration, please email at:
[email protected]
Non profit association n°W751226998
Please visit our website
www.lemondedelads.com