Application form (please fill in all *fields):

*First and last name
Cycling club
*Date of birth
DD/MM/YY
*Address
*Town/City
*Post code
*Country
*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





Accommodation request
Hotel Laguna Istra / Gran Vista Hotel Parentium
App. Astra
Double room single use Double
room
Apartment
Number of persons
Arrival
Departure
Please indicate the names of the persons who will stay in the room/apartment.

Questions and comments

2/09 3/09 4/09
23°C
17°C
24°C
19°C
24°C
18°C