stara prijava parenzana Prijavnica (molimo da ispunite sva *tra�ena polja) *Ime i prezime Biciklisti�ki klub *Datum ro�enja 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 DD/MM/GG *Adresa *Mjesto *Po�tanski broj *Dr�ava Odaberite dr�avuCroatia Afghanistan Antilles Albania Algeria Andorra Angola Antigua and Barbuda American Samoa Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bangladesh Barbados Burundi Belgium Benin Bermuda Bhutan Bosnia Herzegovina Belize Belarus Bolivia Botswana Brazil Bahrain Brunei Bulgaria Burkina Faso Central African Republic Cambodia Canada Cayman Islands Congo Chad Chile People's Republic of China Cote d'Ivoire Cameroon Congo, Democratic Republic Cook Islands Colombia Cape Verde Costa Rica Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt Eritrea El Salvador Spain Estonia Ethiopia Unified Team Fiji Finland France West Germany Federated States of Micronesia Gabon The Gambia Great Britain and Northern Ireland (the United Kingdom) Guinea-Bissau East Germany Georgia Equatorial Guinea Germany Ghana Greece Grenada Guatemala Guinea Guam Guyana Haiti Hong Kong, China Honduras Hungary Indonesia India Iran Ireland Iraq Iceland Israel U.S. Virgin Islands Italy British Virgin Islands Jamaica Jordan Japan Kazakhstan Kenya Kyrgyzstan South Korea Saudi Arabia Kuwait Laos Latvia Libya Liberia Saint Lucia Lesotho Lebanon Liechtenstein Lithuania Luxembourg Madagascar Morocco Malaysia Malawi Moldova Maldives Mexico Mongolia Former Yugoslav Republic of Macedonia Mali Malta Monaco Mozambique Mauritius Mauritania Myanmar Namibia Nicaragua Netherlands Nepal Nigeria Niger Norway Nauru New Zealand Oman Pakistan Panama Paraguay Peru Philippines Palestine Palau Poland Portugal North Korea Puerto Rico Qatar Romania South Africa Russia Rwanda Samoa Senegal Seychelles Singapore Saint Kitts and Nevis Sierra Leone Slovenia San Marino Solomon Islands Somalia Sri Lanka Sao Tome and Principe Sudan Switzerland Suriname Slovakia Sweden Swaziland Syria Tanzania Czechoslovakia Tonga Thailand Tajikistan Turkmenistan Togo Chinese Taipei (Republic of China on Taiwan) Trinidad and Tobago Tunisia Turkey United Arab Emirates Uganda Ukraine Soviet Union Uruguay United States Uzbekistan Vanuatu Venezuela Vietnam Saint Vincent and the Grenadines Yemen Serbia and Montenegro Zambia Zimbabwe *Telefon Telefaks *E-mail Ol Istria MTB Tour Dvojna prijava Maraton Parenzana Cube *Kategorija Elite Women Master 1 Master 2 Master 3 U-23 Sport Hobby-Tourist Juniori i kadeti (1995-1996 + 1997-1998) *LICENCA ili jednokratna prijava UCI licenca UDACE licenca Jednokratna prijava Ukoliko imate UCI licencu unesite va� UCI broj u slijede�em formatu: (XXXYYYYMMDD): Ukoliko nemate UCI/UDACE licencu, molimo unesite va� mati�ni broj kako bi mogli dobiti jednokratnu prijavu Ukoliko imate UDACE licencu unesite va� UDACE broj: Rezervacija smje�taja: App. Astra App. Laguna Bellevue Hotel Laguna G. Vista App. Laguna Park Dvokrevetna soba single use Dvokrevetna soba Apartman Broj osoba Datum dolaska 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 2013 Datum odlaska 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 2013 Molimo Vas da navedete imena osoba koje �e boraviti u sobi/apartmanu. Pitanja i komentari
