Licence FFA _
(2)
N°DEP_ _ _
(2)
N°CLUB_ _ _
(2)
N°LICENCE_ _ _ _ _ _
(2)
Contents
(2) Compulsory
for the graduates FFA
CLUB
.................................................................................
Name
...............................................................................
Please print this form
First name
........................................................................
Year of birth ..................Sex .................. Nationality
.......................................
Address
............................................................................................................
Postal code ................
City................................................................................
Country ...............................
Be careful : no registration will be taken On Sunday morning, just
before the race's start
VERY IMPORTANT
Registration
Numbers:
I'll remove my registration number in
Mende ............... ( 1
)
I'll remove my registration number in
Marvejols ......... ( 1
)
(1) Tick the corresponding
compartment
If you don't mention a town, the registration number will be given to
you in Mende until Saturday , July 20th, 21PM, and in Marvejols,
the day of the race in the morning( registration numbers available from 6.
30 am till 8. 45am)
|
No registration will be taken into account without
the enclosed regulations approval.
|
I have seen
the regulations and I approve it ,
compulsory Signature after
reading
Personal statistics: Number of Participations to MARVEJOLS-MENDE:
.......... In which years? ......................... Your best time:
.................... Your best time on 21 km ....................
To be placed with the best runners please see conditions in the brochure
.Contents
|
Be carefull : No registration will be taken either by phone or by Fax,
or on Sunday morning before the race No money will be
refunded.
|
|
