Borang Kemasukan - FIM EWC | Endurance World Championship

Please fill up the form below to submit your entry :

1 Step 1

TEAM

Team name

Legal address

Post code

City

Country

IBAN

BIC CODE

Company number

Licence number

WebsiteMust start with "http://"

FacebookMust start with "http://"

TwitterMust start with "http://"

InstagramMust start with "http://"

Palmares

0 /

BIKE

Type

Tires brand

Prefered numberThis number will be confirmed later by the promoter

CONTACTS

TEAM OWNER

Name

Surname

Mobile number

TEAM MANAGER

Name

Surname

Mobile number

MEDIA DELEGATE

Name

Surname

Mobile number

RIDERS

RIDER #1

NamePlease indicate "TBA" if driver is not known yet

Surname

Date of birth

Address

Country

Mobile number

WebsiteMust start with "http://"

FacebookMust start with "http://"

TwitterMust start with "http://"

InstagramMust start with "http://"

Licence number

Issued by

Palmares

0 /

RIDER #2

NamePlease indicate "TBA" if driver is not known yet

Surname

Date of birth

Address

Country

Mobile number

WebsiteMust start with "http://"

FacebookMust start with "http://"

TwitterMust start with "http://"

InstagramMust start with "http://"

Licence number

Issued by

Palmares

0 /

RIDER #3

NamePlease indicate "TBA" if driver is not known yet

Surname

Date of birth

Address

Country

Mobile number

WebsiteMust start with "http://"

FacebookMust start with "http://"

TwitterMust start with "http://"

InstagramMust start with "http://"

Licence number

Issued by

Palmares

0 /

RIDER #4

NamePlease indicate "TBA" if driver is not known yet

Surname

Date of birth

Address

Country

Mobile number

WebsiteMust start with "http://"

FacebookMust start with "http://"

TwitterMust start with "http://"

InstagramMust start with "http://"

Licence number

Issued by

Palmares

0 /

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