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Application form (please fill in all *fields):
*First and last name
Cycling club
*Date of birth
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DD/MM/YY
*Address
*Town/City
*Post code
*Country
Select a country
Croatia
Afghanistan
Antilles
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
American Samoa
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Armenia
Aruba
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Austria
Azerbaijan
Bahamas
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Burundi
Belgium
Benin
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Belize
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Botswana
Brazil
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Brunei
Bulgaria
Burkina Faso
Central African Republic
Cambodia
Canada
Cayman Islands
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Chad
Chile
People's Republic of China
Cote d'Ivoire
Cameroon
Congo, Democratic Republic
Cook Islands
Colombia
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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
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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
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Lithuania
Luxembourg
Madagascar
Morocco
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Malawi
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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
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Poland
Portugal
North Korea
Puerto Rico
Qatar
Romania
South Africa
Russia
Rwanda
Samoa
Senegal
Seychelles
Singapore
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Sierra Leone
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Solomon Islands
Somalia
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Sudan
Switzerland
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Slovakia
Sweden
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Syria
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Turkey
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Ukraine
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United States
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Saint Vincent and the Grenadines
Yemen
Serbia and Montenegro
Zambia
Zimbabwe
*Telephone number
Fax
*E-mail
Ol Istria MTB Tour
Double registration
Marathon Parenzana Cannondale
*Category
Elite
Women
Master 1
Master 2
Master 3
U-23
Sport
Hobby-Tourist
U19 + U17 (1992-1993 + 1994-1995)
*LICENCE
UCI License
UDACE License
Without licence
If You have a UCI-licence, please enter it's number (in the following format: XXXyyyymmdd):
If You do not have a UCI/UDACE-licence, please enter your Identification-card number, so we could prepare your single-use licence (covering all three days).
If You have a UDACE-licence, please enter it's number:
Accommodation request
Hotel Laguna Istra
App. Astra
Double room single use
Double
room
Apartment
Number of persons
Arrival
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2013
Departure
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Please indicate the names of the persons who will stay in the room/apartment.
Questions and comments
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