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European Rally of Woman bikers
31/07/04 - 01/08/04
Varano de' Melegari (Parma) - Italy

BOOKING FORM

***please fill in all the sections***

If you have made a bank payment order for more than one person, please fill in a booking form for each separate person that has enrolled, and indicate in the NOTES section the name of all participants that have enrolled together with one single payment.

 BOOKING FORM
Surname
Name
email
Address
city
state
phone number
Date of birth
 
Motorcycle (this information is necessary to prepare the disclaimers in
advance)

- brand
- model
- cc
- number plate

 
Driver's licence
(this information is necessary to prepare the disclaimers in
advance)

licence type
licence number
date of issue
issued by

 
Driving ability


BEGINNER:never driven a motorcycle, or very little experience
BASIC: you have a bike and have driven it around, no track experience at all and relatively little experience on road
MEDIUM: you are fairly confident and experienced on road, and have been a few times on track
EXPERT: good road experience, have been on track often
RACER: Licensed racer

 
Booking
  • 95 (+20) euro per person participation fee
    The following activities have a number limit, so please understand that you may only choose from one of the following options so that each participant has the opportunity to take part in one of them:
  • 65 (+20) euro per person participation fee
    For all the other events (workshops, maintenance seminars, etc.) there is no need to book, you only need to be there at the right times

 
Extras

Please enrol me for the Ameteur Superpole (€ 0,00)
I will be sleeping in the paddock with my sleeping bag (€ 0,00)
Saturday night dinner and party (€ 0,00)
Kid (up to 12 y.o.) (€ 35,00)

 
Note

 

I have sent the bank payment order
Amount paid: euro
Date of payment
Bank issuing the payment or payment reference no.

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