Registration
Team name:
Team manager name:
Address:
Zip:
Town:
District:
Telephone:
Fax:
E-mail:

Entry Fee: 400 euros per team until 12/31/2017; 500 euros per team from 01/01/2018
until 05/15/2018 or until the maximum limit of 100 teams is reached

   
Means of payment: Bank transfer,
at the Banca di Credito Cooperativo delle Prealpi,
via Montelungo, 32032 Feltre (BL),
IBAN IT39 Z089 0461 1100 2600 0000 140

BIC: I CRAITR1P4R Payment to: SSD Pedale Feltrino
   
By submitting the form I authorize the processing of personal information pursuant to article 13 of law 196/3.
FILL OUT THE FORM AND SEND WITH A COPY OF PROOF OF PAYMENT VIA EMAIL AT castelli24h@gmail.com OR VIA FAX TO +39 0439/300600.

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