ITA ENG DEU

ENTRY FORM LA PEDALEDA 2008
[dati anagrafici]

Surname:

First Name:

Sex:

Birthdate:

Street:

Postal code:

City:

Province (Italian only):

Nation:

Telephone:

Fax:

Mobile phone (for important sms):

Email (for important mails):

Licence:

Specialized Frame :

Yes No

Licence, issued by:

Team code:

Licence number:

Licence Category:


race:

La Pedaleda marathon 60 Km. - € 26,00 within 26/06/2008

Means of payment

ON LINE: via credit card

Postal cheque: n° 37722618 (ABI 07601 CAB 11000)
made out to APT Livigno - O.C. La Pedaleda 

Bankers Draft: n° 1816 to the Banca Credito Valtellinese Livigno
branch Swift code (BPCV IT 2 S) Iban code
(IT 46G0521652200000000001816) made out to
APT Livigno - O.C. La Pedaleda 

Personal data treatment agreement

I Agree

 

@2002 Longa Net Service s.r.l.


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O.C. La Pedaleda: Via Saroch 1098 23030 Livigno (SO) – Italy Tel. +39 0342 052230 Fax +39 0342 052259 - e-mail: infoeventi@livigno.eu