Appendix 3.,	1(4)		Pisaralla Pisimmälle® 2010

ENTRY FORM
PISARALLA PISIMMÄLLE® 2010

ENTRANT								:  																								
(Name of person or school, company etc. organisation)
TEAM NAME							:  																								
NAME OF VEHICLE					:  																								
RESIDENCE OF TEAM				:  																								
(Town and Country)

Please give us contacts where you can be reached also during July - August!

ADDRESS FOR CORRESPONDENCE (Full with all details and names; as wanted on the envelope) :

											   																								

											   																								
												Address belongs to		 team		 organisation		 team manager
PHONE									:  																					 			
												Number belongs to		 team		 organisation		 team manager
TELEFAX								:  																								
												Number belongs to		 team		 organisation		 team manager
E-MAIL									:  																								
												Address belongs to		 team		 organisation		 team manager
WWW-HOMEPAGE					:  																								
												Address belongs to		 team		 organisation		 team manager
TEAM MANAGER						:	Given name			:  																	
												FAMILY NAME		:  																	
												Date of birth			:  																	
DRIVER									: 	Given name			:  																	
												FAMILY NAME		:  																	
												Date of birth			:  																	
RESERVE DRIVER					: 	Given name			:  																	
												FAMILY NAME		:  																	
												Date of birth			:  																	
FUEL										:		 98			 98 / 2%			 Diesel
CLASS									:		 Open		 Basic
SIZE OF TEAM							:  							  persons		(approx. +/- 2, those coming to competition)

Appendix 3.,	2(4)		Pisaralla Pisimmälle® 2010
PREVIOUS PARTICIPATION TO PISARALLA PISIMMÄLLE® ? :
Team :							 Yes			 No						Vehicle :		 Yes			 No
HAS THE TEAM PARTICIPATED TO EUROPEAN MARATHONS BEFORE ?
IF YES, BEST PERFORMANCES :
France				:			 Yes			 No,						Result :  								  km/l
Belgium				:			 Yes			 No,						Result :  								  km/l
Great Britain		:			 Yes			 No,						Result :  								  km/l
Scotland				:			 Yes			 No,						Result :  								  km/l
Finland				:			 Yes			 No,						Result :  								  km/l
HAS THE TEAM PARTICIPATED TO OTHER MARATHONS IN THE WORLD ?
IF YES, BEST PERFORMANCES :
Marathon :  																	,		Result :  								  km/l
Marathon :  																	,		Result :  								  km/l
Marathon :  																	,		Result :  								  km/l
Marathon :  																	,		Result :  								  km/l

We hereby apply for an entry in the Pisaralla Pisimmälle® 2010 -competition thus admitting that we have taken due note of the regulations and invitation and approve them. We also give up all our rights for compensations and claims in case of accident or the competition being modified, cancelled, postponed or changed earlier.

Place and date							:  																								
Manager’s signature					:  																								
Driver’s signature						:  																								
Reserve driver’s signature			:  																								

GUARDIAN’S PERMISSION FOR DRIVERS NOT MAJOR
DRIVER :
I 															 hereby give 																	
permission to be a driver for a team above in the event in question, thus admitting that I have taken due note of the regulations, invitation and entry form and approve them. I also give up all our rights for compensations and claims in case of accident or the competition being modified, cancelled, postponed or changed earlier.
Address and phone of guardian			:																																																									 		
Place, date and signature of guardian	:																								

RESERVE DRIVER :
I 															 hereby give 																	
permission to be a driver for a team above in the event in question, thus admitting that I have taken due note of the regulations, invitation and entry form and approve them. I also give up all our rights for compensations and claims in case of accident or the competition being modified, cancelled, postponed or changed earlier.
Address and phone of guardian			:																																																											
Place, date and signature of guardian	:																								

Appendix 3.,	3(4)		Pisaralla Pisimmälle® 2010
All information given in Vehicle Data section may be used for bulletins or given to announcer unless specifically forbidden!

VEHICLE DATA
ENGINE :
Type :								 Petrol					 Diesel
										 4-stroke				 2-stroke				 Other :  								
Number of cylinders 	:  													Capacity (cc) :  										
Ignition :								 Breakers				 Electronic			 Other :  								
Lubrication :						 Wet sump			 Dry sump			 Oil injection
										 Mixture 2%			 Other :  															
Starter :								 Electric				 Manual				 Other :  								
Cooling :							 Water				 Air					 Other :  								
Battery :								 No					 Yes, capacity (Ah) :  											
Fuel distribution :					 Carburettor			 Injection  (  Electronic /  Mechanical )
Make of the engine :				 Prototype			 Factory ; Manufacturer :  									
																			 As original		 Modified
For Basic Class vehicles ;  The origin of engine parts :
Cylinderhead			:  											Cylinder				:  											
Piston						:  											Connecting rod		:  											
Crankshaft				:  											Crankcase			:  											

TRANSMISSION :
Clutch :								 Manual				 Centrifugal			 Other :  								
Final Drive :						 Chain				 Belt					 Other :  								
Number of gears :  																													

CHASSIS :
Type :					 Tubular		 Platform			 Hull/Tub			 Other :  								
Materials used :  																														
																																			
Number of wheels :						 3					 4
Tyres ; Type and size :  																												
Brakes :					 Block			 Drum				 Disk				 Other :  								
Brake control :			 Cable		 Hydraulic		 Rod				 Other :  								

Appendix 3.,	4(4)		Pisaralla Pisimmälle® 2010
BODYWORK :
Type :							 Open					 Closed
Materials used :  																														
																																			
Overall height (cm)	:  										Overall width (cm)		:  										
Track (cm)				:  										Wheelbase (cm)			:  										
Weight of the vehicle (kg) :  																										

RADIO CONNECTIONS :
Does the team use radio connections during the competition?:
		 No		 Yes  (  Voice radio, frequency: 					 Radio modem, frequency: 					 )

Please attach a diagram of the fuel system!

TEAM INFO
Please tell us about your team and its history (e.g., when founded, record, major occurrences and achievements, etc.) :