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Préinscription en ligne 52 ème 6 Heures de Berck
Préinscription en ligne à remplir avant le 15 Novembre 2016
Online pre-registration before November 15th
Numéro de voile / Sail number
Your answer
Classe/ Class
Premier pilote / First pilot
Nom/Name
Your answer
Prénom/ First name
Your answer
Adresse/ Address
Your answer
Code postal/Zip code
Your answer
Ville/City
Your answer
Pays/Country
Your answer
Date de naissance/ Birth date
Your answer
Téléphone/Phone number
Your answer
E-mail
Your answer
Club/ Club
Numéro de licence/ Licence Number
Your answer
Taille/Size t-shirt
Required
Deuxième pilote / Second pilot
Nom/Name
Your answer
Prénom/ First name
Your answer
Adresse/ Address
Your answer
Code postal/Zip code
Your answer
Ville/City
Your answer
Pays/Country
Your answer
Date de naissance/ Birth date
Your answer
Téléphone/Phone number
Your answer
E-mail
Your answer
Club/ Club
Numéro de licence/ Licence Number
Your answer
Taille/Size t-shirt
Required
Commentaire / Comment
Your answer
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