Race Registration

TEAM/INSCRIPTION TYPE
MIXED COMPETITION - AR EUROPEAN SERIES (10 to 12 October, 2014) - Value - 250,00€ per team payable until September, 30th 2014

ADVENTURE CLASS (10 to 12 October, 2014) - Value - 150,00 € per team payable until September, 30th 2014

PROMOTION/UNIVERSITY CLASS (22 to 24 May, 2014) - Value - FREE OF CHARGE

CORPORATE CLASS - Contact organization for details xpd2014@portugalxpdrace.com. Payable until May, 11th 2014

No refund policy.

TEAM Team name
Sponsors
Country

Race background & Expectactions

Team Contact Email address
Phone/Fax number

Team Captain Complete name
Gender Date of Birth (year/month/day) / /
Email address
Phone/Fax number
Nationality

Team member 2 Complete name
Gender Date of Birth (year/month/day) / /
Email address
Phone/Fax number
Nationality

Team member 3 Complete name
Gender Date of Birth (year/month/day) / /
Email address
Phone/Fax number
Nationality

Team member 4 Complete name
Gender Date of Birth (year/month/day) / /
Email address
Phone/Fax number
Nationality

Team member 5 Complete name
Gender Date of Birth (year/month/day) / /
Email address
Phone/Fax number
Nationality

PAYMENT
Bank Transfer Data
Bank: Montepio Geral
IBAN: PT50 0036 0060 9910 0061 0130 2
Swift Code: MPIOPTPL
Please send transfer details to xpd2014@portugalxpdrace.com

Your Bank account (number)
Date of your Bank transfer (year/month/day) / /

OBS