24 heures vélo

Registration form 2012

Name *
Category
*
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(VAT included: 19,6%)
Prices reflect a discount of 9%
(offer valid until February 29, 2012)
Team representative

All fields are mandatory

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Your email must be valid and will be used to confirm your registration.


* Tell us if you want to share your pit with another team, share a story about the race,...

Options (VAT included: 19,6%)

Catering options

Access to restaurant (« Athlete’s menus » - Saturday breakfast non-included)
  • Number of Option «100% » (Friday evening to Sunday lunch) X 82 = 0
  • Number of Option « Week-end » (Saturday lunch to Sunday lunch) X 62 = 0
  • Number of Option « Light » (Saturday evening to Sunday lunch) X 41.5 = 0
Subtotal : 0

Circuit options

  • Additional access “Campsite-Staff” (Campsite+Village) X 5 = 0
  • Additional access to Campsite for vehicle X 10 = 0
  • Additional access “Paddock-Staff” (Campsite+Village+Paddock) X 30 = 0
Subtotal : 0

Matinale DECATHLON

The "Matinale DECATHLON" has been created for visitors, team staff members and friends: one hour to enjoy and get familiar with the legendary Bugatti racetrack. Everyone can take part in the « Matinale ». More information on www.24heuresvelo.fr
  • Entry for the " Matinale DECATHLON» (1 hour of stroll - Opened to all - Helmet mandatory) X 10 = 0
Subtotal : 0
Overall total

The overall total includes your registration and options.

Overall total : 0

(VAT included: 19,6%)
Team list

N° 1

Are you a competion cycling licence holder?

 

Last Name

First Name

Birthdate

//

Full address




Email

N° 2

Are you a competion cycling licence holder?

 

Last Name

First Name

Birthdate

//

Full address




Email

N° 3

Are you a competion cycling licence holder?

 

Last Name

First Name

Birthdate

//

Full address




Email

N° 4

Are you a competion cycling licence holder?

 

Last Name

First Name

Birthdate

//

Full address




Email

N° 5

Are you a competion cycling licence holder?

 

Last Name

First Name

Birthdate

//

Full address




Email

N° 6

Are you a competion cycling licence holder?

 

Last Name

First Name

Birthdate

//

Full address




Email

N° 7

Are you a competion cycling licence holder?

 

Last Name

First Name

Birthdate

//

Full address




Email

N° 8

Are you a competion cycling licence holder?

 

Last Name

First Name

Birthdate

//

Full address




Email

Notes
- Team list to be filled in before July 25, 2012

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