Entry 2012

Sun, 2007-12-09 00:27 |

szliczki

Entry form

Name: *

Nickname on race number:

Male/female: *

Male

Female

Date of birth: *

e-mail address: *

Country: *

Postal code: *

Town: *

Street address: *

Phone no.:

Club:

First ironman distance race: *

Yes

Number of finished races in Nagyatád: *

Planned race time: *

Best race time in Nagyatád:

Size of T-shirt: *

Diploma: *

I would like to have my Finish diplom in this language.

Pasta party (26 July 2012, 19:30-21:30) :

I participate in the party

You can order further tickets here:

Pasta party (4 EUR/pcs): *

Athletes garden (4 EUR/pcs): *

Transportation of individuals to the location of swimming: *

Transportation of bikes to the location of swimming: *

We ask You to pay the tickets together with the entry fee. In other case we cancel the order of tickets.

Invoice:

I request invoice

Invoicing address:

Postal address:

Note:

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