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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
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Angola
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Canada
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Chile
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Cote d'Ivoire
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Cook Islands
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Denmark
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Dominican Republic
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El Salvador
Spain
Estonia
Ethiopia
Unified Team
Fiji
Finland
France
West Germany
Federated States of Micronesia
Gabon
The Gambia
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Guinea-Bissau
East Germany
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Equatorial Guinea
Germany
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Guinea
Guam
Guyana
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Hong Kong, China
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Hungary
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India
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Laos
Latvia
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Liberia
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Former Yugoslav Republic of Macedonia
Mali
Malta
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Mauritius
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Niger
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Portugal
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South Africa
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Sudan
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Slovakia
Sweden
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Yemen
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*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 Delfin
App. Astra
Double room single use
Double
room
Apartment
Number of persons
Arrival
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2010
2011
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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