www.motogiroitalia.it -- Registration Form

Name
Surname
Gender - Size clothing	size clothing
Language to receive communications
Birthplace
Birthdate
Address
City
State
ZIP
Country
Phone number	home office mobile
Email
Group name	IMPORTANT Only the specific group's creator can modify this option. Please ask him to register you in the group. You can proceed with the pre-enrollment payment but any discount will be reflected in the total cost only after the inclusion in the group.
Member of a Team?	(select the checkbox)
Category
Type of participant
Member of (Motoclub extended denomination)
Motoclub identification code number
Motoclub head office address	City State
FMI affiliated
FMI/UEM License n.

Driving license n.
Driving license issued by
From (City of issue)
Driving license date of issue
Driving license expiry date
Brand of vehicle
Type of vehicle
Model of vehicle
Vehicle displacement (cc)
Vehicle year of fabrication
If you have a spare vehicle, specify the Brand - Type - Model - Displacement - Year of fabrication.
Without Hotel Package (independent accommodation and luggages transport)	(select this box)
Overnight accomodation - EXCEPT ON THE 181920212223
Preferably to be shared with (select amongst the available members) (in the absence of preferences the choice is left to the management)
dietary preferences	none vegetarian vegan
food intolerances (coeliac or other)
Lunch 15-05	€ 33.00
Overnight and supper 15-05	€ 135.00
Lunch 16-05	€ 33.00
Overnight and supper 16-05	€ 135.00
Lunch 17-05	€ 33.00
Overnight and supper 17-05	€ 135.00
Lunch 18-05	€ 33.00
Gala dinner reservation 24-05	yes no *Included!*
Overnight and supper 24-05	*Free!*
Lunch 25-05	€ 33.00
Overnight and supper 25-05	€ 135.00
Lunch 26-05	€ 33.00
Seconda moto	€ 150.00
trasporto ricambi ecc. fino a 25 Kg.	€ 50.00
trasporto ricambi ecc. da 26 a 50 Kg.	€ 100.00
Choose a password	👁

TOTAL ENROLLMENT PAYMENT	Euro 2.100,00
I HAVE READ AND ACCEPTED ALL TERMS AND CONDITIONS	Yes No

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