CARPATHIAN MTB EPIC 2018 - MEDIA ACCREDITATION FORM
EN: The data collected is for internal use only and is in no way distributed to any third party.

RO: Informatiile colecate sunt doar pentru uz intern si nu vor fi distribuite in niciun fel.

Email address *
First name / Prenume *
Your answer
Last name / Nume *
Your answer
Mobile phone / Telefon mobil *
Your answer
Residence (city) / Resedinta (oras) *
Your answer
Residence (county) / Resedinta (judet) *
Your answer
Citizenship / Cetatenie *
Your answer
Media (TV, radio, print, online, press agency) / Media (TV, radio, print, online, agentie de presa) *
Your answer
No. press ID card & Issuer / Nr. ID presa & Emitent
Your answer
Accreditation category / Categorie acreditare *
Please note if you would like to take part in the race. / Te rugam sa mentionezi daca doresti sa iei startul in cursa. *
Please provide info about the guaranteed media exposure. / Te rugam sa oferi detalii despre expunerea garantata in media. *
Your answer
Please provide some info about your media background in sports or cycling. / Te rugam sa oferi cateva detalii despre istoricul tau in mass-media sportiva sau in ciclism. *
Your answer
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