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Round Table CUP Lugano
EHC Switzerland 2023
Registration form for 20/5/2023 handbike race
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Titolo predefinito
First Name
*
Your answer
Surname
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Your answer
Street & number
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ZIP code
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City
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Country
*
Your answer
Nationality
*
Your answer
Date of Birth
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MM
/
DD
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YYYY
Gender
*
M
F
Club / Federation
Your answer
UCI Code (when applicable)
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Classification
*
H1
H2
H3
H4
H5
Open
Note
Payment to confirm the registration (40 CHF until 10/5/23, 50 CHF after)
Associazione EvenTIamo
6900 Lugano - Switzerland
IBAN:CH52 0900 0000 6975 7053 9
BIC: POFICHBEXXX
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