4 ISLANDS MTB STAGE RACE 2017

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4 ISLANDS MTB STAGE RACE 2017 - APPLICATION FORM

Team name / Ime tima *

Name / Ime *

TEAM LEADER

Surname / Prezime *

TEAM LEADER

E-mail / E-mail *

TEAM LEADER

Gender / Spol *

TEAM LEADER

Date of birth / Datum rođenja *

TEAM LEADER

YYYY

Country / Država *

TEAM LEADER

Mobile phone number / Broj mobitela *

TEAM LEADER

T-shirt size / Veličina majice *

TEAM LEADER

Name / Ime *

TEAM PARTNER

Surname / Prezime *

TEAM PARTNER

E-mail / E-mail *

TEAM PARTNER

Gender / Spol *

TEAM PARTNER

Date of birth / Datum rođenja *

TEAM PARTNER

YYYY

Country / Država *

TEAM PARTNER

Mobile phone number / Broj mobitela *

TEAM PARTNER

T-shirt size / Veličina majice *

TEAM PARTNER

Contact person in case of accident / Kontakt osoba u slučaju nezgode *

Please enter name, surname and contact phone / Navedite ime, prezime i broj telefona osobe za kontakt

I need adittional services / Želim dodatne usluge *

TRANSFER PACKAGE - Package includes all transfers between stationary base 1 (Baska, island Krk) and stationary base 2 (Veli Losinj, island Losinj) and back to stationary base 1 on Sunday 23.04.2017. after the race. Package includes participant transfer + bike transfer + luggage transfer in both directions - payable in cash only on registration (50 EUR per person) / PAKET TRANSFERA - Paket uključuje sve transfere iz stacionarne baze 1 (Baška, otok Krk) i stacionarne baze 2 (Veli Lošinj, otok Lošinj) te povratak nazad u stacionarnu bazu 1 nakon utrke u nedjelju 23.04.2017. Paket uključuje transfer natjecatelja + transfer bicikala + transfer prtljage u oba smjera (50 EUR po osobi) - plaćanje isključivo gotovinom na registraciji

BIKE CASE TRANSFER - Transfer for bike case from start to finish (15 EUR per case) / Transport kofera za bicikl od starta do cilja (15 EUR po koferu)

I don't need adittional services / Ne trebam dodatne usluge

Required

I am interested in accommodation, please send me an offer / Zanima me dodatna ponuda smještaja, molim vas pošaljite mi ponudu *

Hotel accommodation / Smještaj u hotelima

Boat accommodation category A / Smještaj na brodu A kategorije

Boat accommodation category B / Smještaj na brodu B kategorije

Required

Goal and expectation from the race / Očekivanja od utrke

I have read and I accept terms and conditions of the Race / Pročitao sam pravila Utrke i suglasan sam s njima *

Slažem se / I agree

Required

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