La Trans Aq'

Anmeldung

La Trans Aq’ 2011

Laufwettbewerb (220 km in Etappen)

du vom 30. Mai bis zum 4. Juni 2011

Name *
Surname *
Sex *	Male Female
Birth * (DD/MM/YYYY)
Address *
Postcode *
City *
Country *

(*) These fields are mandatory.

Nationality *
Name of team
Club
Phone *
Email
Brief running results

Ich melde mich für die Teilnahme am Trans Aq’ 2011 an und bestätige, dass ich Kenntnis vom Reglement genommen habe, und es akzeptiere. Ich werde ein medizinisches Zeugnis mitbringen, das bestätigt, dass ich medizinisch gesehen in der Lage bin (Art. 25) eine solchen Wettkampf zu bestreiten (datiert 2011).

Caution: registration is valid only after receipt of payments

The "Confirm" button sends this form to the organiser and informs him that he will receive the payment by Paypal or by swift (electronic transfer)

Your name will be published in the entry list once our bank confirms your payment.

For a team:
Print a registration form for each member of the team (3 to 5)

Registration fees are 650 Euros + (12 Euros if you will use our shuttle from Bordeaux to the start)

-A fidelity discount is offered: 40 Euros for one previous participation, 70 Euros for 2 previous participations, 100 Euros for 3 previous participations, 130 Euros for 4 previous participations and 160 Euros for 5 previous participations (including abandons). The fidelity discount can be accumulated:

-Addition for registration after 30th november. Add 50 Euros.

-Or addition for registration after 31st january. Add 100 Euros

Teams: the same principal applies; multiplied by the number of members

For payment via Bank transfer: our bank details will be supplied upon request via : dunesorganisation@wanadoo.fr (English spoken) To avoid fraud (hackers), these details are not published on our website...

THANK YOU

Anmeldung

Anmeldung

La Trans Aq’ 2011

Laufwettbewerb (220 km in Etappen) du vom 30. Mai bis zum 4. Juni 2011

Laufwettbewerb (220 km in Etappen)

du vom 30. Mai bis zum 4. Juni 2011