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Granfondo » Granfondo and Mediofondo entry

Granfondo and Mediofondo


Fax entrys

Fax entries - Registration form: download the entry form
Medical Certificate Form: download the medical Certificate form



On line entry form




I accept the conditions and regulations mentioned above
   
Surname *
Name *
Nationality *
Date of Birth * dd     mm    yy 
sex *
address *
city *
zip *
country *
telephone number
mobile phone number
occupation
e-mail *
Club Name *
Club code *
U.C.I. membership of the club *
Membership card n° *
Category * Cyclists and others
Elite and Merits (explain reasons)

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