Entrainements Compétiteurs U17 (Cadets)
Les entrainements ont lieu les mercredi après-midi de 16h00 à 18h00
Prénom
*
Nom
*
Email
*
Date de Naissance
*
-
Jour
-
Mois
Année
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Téléphone
*
Club
*
N° de licence
*
N°UCI
*
Catégorie
*
U17 Première Année
U17 Deuxième Année
Entrainement
1 X inscription entrainement U17 Cadets
(
100.00
CHF
one-time payment.)
Payment Method
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Credit Card
Prénom
Nom
Credit Card Number
Code de sécurité
Date d'expiration
January
February
March
April
May
June
July
August
September
October
November
December
Année d'expiration
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
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Adresse
Adresse
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Pitcairn Islands
Poland
Portugal
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Republic of the Congo
Romania
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Saint Barthelemy
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Samoa
San Marino
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Slovenia
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South Ossetia
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eSwatini
Sweden
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Tajikistan
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