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INSCRIPTION FORM


Pan-American Cycling Masters Mar del Plata 2008
November 1 nd to 8 nd, 2008

WARNING

 

The enrollment only could be possible if the riders are authorized by their National Federations. This is because each delegation have a limit of 50 riders per country.

The inscription deadline is going to be 17 th October 2008. After this date, the vacancies are going to be checked by Argentina Cycling Federation. So that, this organization will delivery the vacancies among the ones how have more riders that the Event Organization allows.

Only when the teams have been re organized, the new competitor’s inscription would be considered by Argentina Cycling Federation.

PERSONAL INFORMATION
- Enrollment Fee USD 100. This fee must be cancelled at the moment of the inscription.

Name and Surname  *

Address (street, number)
Location  *
Zip Code 
Province
Country  *

E-Mail Address  *

Phone Number  *
Age
Gender
Female
Male

Date of birth

National Identity Card  *
 
PROFESSIONAL INFORMATION

Licence Number

Category

UCI Code

 

National Federation

Local Asosciation (Only for argentinean riders)
 
PAN-AMERICAN CYCLING MASTERS
Events
1 - Road 2 - Criteriun 3 - Track
Line
Crono
Line
 
Sprint
Olimpic Sprint
Individual Persuit
Team Persuit
Points Rage
Scratch
500 mts
750 mts
1 Km
 
ADITIONAL INFORMATION
Comments
 

 *  Information Required  
  

  

 

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