RIDER INFORMATION. The Team confirms its intention to participate to the FIM Supermoto World Championship and / or to the FIM Europe Supermoto European Championship with the following riders: Rider: Rider: Rider: Rider : The Team wishes to park at every event n° Trucks n° Vans n° Motor-home Trucks Measures Tents Vans Measures Tents Motor-home Measures Tents *if necessary, please attach a map of the arrangement Truck, Van and Motor-home will not be allowed in the paddock without receiving prior approval from XXXX Xxxxxxx Manager. Please notify in advance the possible change of the Trucks/Motor-Homes at:
2 a . Administration information
RIDER INFORMATION. RIDER’S NAME (please print)
RIDER INFORMATION. Minimum Age of Owner on Rider Start Date [50] Maximum Age of Owner on Rider State Date [80] Final Roll-up Anniversary The earlier of (i) the [10th] Anniversary of the Rider Start Date or (ii) the first Contract Anniversary after the Owner’s (or Annuitant’s, if there is a non-natural Owner) [85th] birthday Growth Factor [3] –[10]% Minimum Income Phase Start Age [59½] Benefit Percentage Attained Age of Covered or Joint Covered Person Benefit Percentage
RIDER INFORMATION. ❑ As a driver, I have a driver’s license and proof of insurance. Type of vehicle:
RIDER INFORMATION. ❑ As a driver, I have a driver’s license and proof of insurance. Type of vehicle: 🞏 regular passenger car 🞏 High clearance 🞏 4-wheel drive ❑ I will be driving my own vehicle and will be looking for passengers. ❑ Number of passengers (with gear) I can take: _ ❑ I will be driving my own vehicle and already have passengers. ❑ Name of passenger(s) (must be an enrolled student): ❑ I already have a ride with another student. ❑ I need a ride and will be looking for someone to ride with.
