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19º ENDURO DA LOUSÃ / Reserva Natural de Enduro
3ª etapa do Campeonato Nacional de Enduro 2014
18 e 19 de Abril
www.montanha-clube.pt
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Nome completo
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Your answer
Data de nascimento
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MM
/
DD
/
YYYY
Número B.I. ou C.C.
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Grupo sanguíneo
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Choose
O+
O-
A+
A-
B+
B-
AB+
AB-
Morada
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Código postal
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Localidade
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Contacto móvel
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Contacto e-mail
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Equipa
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Carta de condução
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Licença desportiva (para pilotos federados na FMP)
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Classe
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Choose
ELITE 1
ELITE 2
OPEN 1
OPEN 2
VERDES 1
VERDES 2
VETERANOS
SUPER VETERANOS
SENHORAS
HOBBY
HOBBY (TROFÉU XR / LOUSÃMOTOS)
ENDURO CUP
Marca da moto
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Choose
Ajp
Aprilia
Beta
Gas Gas
Honda
Honda XR (participação no troféu)
Husaberg
Husqvarna
Kawasaki
Ktm
Sherco
Suzuki
Tm
Yamaha
Outra...
Modelo da moto
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Cilindrada da moto
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Carboração
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2 TEMPOS
4 TEMPOS
Matrícula
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Número do quadro
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Companhia seguradora
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Apólice
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