ISCRIVITI


Name



Surname



E-mail



Mobile phone



Date of birth






Place of birth



Nationality



Passport number



Issue date






Expiry date






Motorcycle type



Plate number



Motorbike frame number



T-SHIRT SIZE



Note



Allergies or intolerances to report



Bank account details

 



TRXRAID SAGL
Via al Funtì 15
6834 Morbio Inferiore (TI)
Svizzera


CONTO EURO
IBAN CH78 0900 0000 9181 2595 5
CONTO 91-812595-5 EUR
BIC  POFICHBEXXX


CONTO CHF
IBAN CH54 0900 0000 6507 9002 2
CONTO 65-79002-2


Please use the SEPA-transfer system and make sure that all bank charges are on behalf of the participant


 






I have read and agree to the regulation of the event