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Inscrivez-vous pour 2019

Race Entry Form, 2019

Please fill out the registration form and we will get in touch with you to complete the process.

Étape 1 de 3 - Your Contact Information

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Title*
Name*
Prénom Nom

Please enter your name with care. How you type it here is how it appears on the website!
Address*
Adresse postale Ville État / Province / Région ZIP / Code postal Pays
Preferred Phone Number*
Email*
Date of Birth*
Nationality*
Passport No. / N.I.E.*
T-Shirt Size*

Emergency Information
Name*
Prénom Nom
Address*
Adresse postale Adresse ligne 2 Ville État / Province / Région ZIP / Code postal Pays
Email*
Prefferred Phone Number*

Additional Information
- Team Axarsport s.l. and its associated companies will not sell or transfer in any manner their mailing list to third parties. However we can contact you from time to time to send you information of other events and products. Please tick if you do not wish to receive any more mail in this respect.
- Please tick if you do not wish to have your race images used for promotional or news purposes.
Declaration
I confirm that I have read and understood the regulations, terms and conditions of this event and accept them without reservation. As well I declare that I am prepared to participate in the event with full knowledge and comprehension of the risks that it entails. I certify that all of the information supplied on this form is correct.
*
- I have read the rules and regulations and declare that I am in agreement with all of it.
Where did you hear about this event?
Additional Information
Deposit
Prix: 350,00 €
This is the deposit. Upon registration you will be forwarded to our payment process where you can PAY VIA CREDIT CARD with PayPal (You do not need a PayPal account!).
Phone
Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.

2018 Race Results GC
2019 ENTRY IS OPEN!

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