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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
*Category
Elite
Women
Master 1
Master 2
Master 3
U-23
Sport 1
Sport 2
Hobby-Tourist
Juniors
*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
Double room single use
Double
room
Apartment 3pax
Number of persons
Arrival
Departure
Please indicate the names of the persons who will stay in the room/apartment.
Questions and comments
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