Rider Registration 2012 Waitinglist

first name*
surname*
D.O.B. - TT.MM.JJJJ *
street adress*
Zip Code*
city*
country*
nationality*
mobilphone*
e-mail*
driving license ID - number*
bike brand (KTM, SUZUKI,...)*
type of bike (525 EXC, YZ 250,...)*
register for me
Rocket Ride: Euro 37,-- (inkl. 20% Ust.)
I will race in this class:*
number of entourage*
team name (max. 18 signs)
in case of an accident contact: firstname - surname*
phone nr. of the emergency contact*


Fahrer Bild / rider picture - Upload (max. 80 kb)
message to the erzbergrodeo administration
free comment
terms*
I accepted the Terms and Conditions.
 

 

Terms

 

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Erzbergrodeo XVIII