La Trans Aq'
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Register


    La Trans Aq’

    Stage Race (230 km in six stages)

    From 30th May to 4th June 2011



    Name *
    Surname *
    Sex *
    Birth *
    (DD/MM/YYYY)
    Address *
    Postcode *
    City *
    Country *
    (*) These fields are mandatory.
    Nationality *
    Name of team
    Club
    Phone *
    Email
    Brief running results

     Basic Amount
    		  650 Euros
     Possible addition if using the shuttle service from Bordeaux to the start line. Add 12 euros.
     Addition for registration after 30th november.  Add 50 Euros.
     Or addition for registration after 31st january. Add 100 Euros
     Reduction if you've taken part in one Trans Aq'. Subtract 40 euros.
     Reduction if you've taken part in two Trans Aq'. Subtract 70 euros.
     Reduction if you've taken part in three Trans Aq'. Subtract 100 euros.
     Reduction if you've taken part in four Trans Aq'. Subtract 130 euros.
     Reduction if you've taken part in five Trans Aq'. Subtract 160 euros.
     Reduction if you've taken part in six Trans Aq'. Subtract 190 euros.
     Price

     

    I agree to take part in the Trans Aq' 2011 race and declare that I understand  and accept the rules. I shall (later) supply a medical certificate (dated 2011) stating fitness to participate in a foot race of several stages (from 25 to 60 km) whilst carrying a back pack.

     


    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 on saturday 28th May)

    -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).

    - 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

     

     

     

     

     

     

     

     

     

     



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