Enduro Challenge 2019
[PT] Formulário apenas para atletas da categoria Promoção, E-bike, Infantis ou Juvenis. Para registos nas outras categorias: https://acmadeira.pt/index.php/competicoes-2016/calendario/icalrepeat.detail/2019/02/16/149/-/1-prova-da-taca-da-madeira-de-enduro-enduro-challenge

[EN] Use this form only for Open Class and E-bike. If you have a UCI license please use this website: https://acmadeira.pt/index.php/competicoes-2016/calendario/icalrepeat.detail/2019/02/16/149/-/1-prova-da-taca-da-madeira-de-enduro-enduro-challenge

Email address *
Nome / Name *
Your answer
País / Country *
Your answer
Data Nascimento / Date of Birth *
MM
/
DD
/
YYYY
Email *
Your answer
Telefone / Phone Number *
Your answer
Licença / License *
Número Licença / License number
Your answer
Clube / Club
Your answer
Categoria / Category *
Extras
Informações de pagamento / Payment informations
PT // Após preenchimento e envio do formulário, o pagamento deverá ser efetuado através de transferência bancária e enviado comprovativo por email (clube.canicoriders@gmail.com).

EN // After filling out and sending the form, payment should be done via bank transfer and you should send payment proof via email (clube.canicoriders@gmail.com).

NAME: CCR - Clube Caniço Riders
IBAN: PT50 0033 0000 4544 6759 3250 5
SWIFT/BIC: BCOMPTPL
BANK: Millenium BCP

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