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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