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9:48:58
Ven 10 Settembre 2010

Registration for The 1001 Miglia 2010

Cost 180 euro includes food and sleeping areas.

I Campi con  * sono obbligatori
Personal Information
Name * Last name *
Nationality  Date of birth(dd/mm/yyyy) 
E-mail *    
Address
Street: * City: *Zip  
Tel: Fax: Cell  
State or Region Country 
Fed: Insurance:    No#   
Team
Country  Code ACP
Team name  License n°  
Type of Bike
Road  Tandem Triplet  Special Bike  
Support Vehicle
You want a support vehicle at the controls  Yes   No 
Car Type    License n°  
Bag Drop
Transport 2 Bag Drop 20 euro (600km & 1000km)  Yes   No 
Qualification
To particepate at the 1001 miglia 2010 a rider must have had completed the Paris Brest Paris or 1001 miglia or LEL or MGM or a 600km or 400km in 2010
1001miglia   Yes    No  LEL   Yes    No   PBP Yes    No    MGM Yes    No  
600km o 400km Homologation n° 2010   Location' Team Organizer
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