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
Marathon Parenzana Cannondale Double registration
ISTRIA MTB Tartufi Tour


*Category
Elite Women Master 1
Master 2 Master 3 U-23
Sport 1 Sport 2 Hobby-Tourist
Juniors

*LICENCE
UCI Licence
Without UCI licence





Accommodation request
Hotel Laguna Gran Vista App. Astra
Hotel Parentium
Single room 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

   
12/10 13/10 14/10
20°C
12°C
22°C
11°C
21°C
11°C