APPLICATION FORM QUOTATREFFEN 2013 WALES fill in with: Your Name Your Surname where you come from Your E-mail Address which bike you come with ................................................... moto guzzi QUOTA 1000 moto guzzi QUOTA 1100 moto guzzi STELVIO moto guzzi NTX750 moto guzzi NTX650 moto guzzi NTX350 moto guzzi TT650 moto guzzi TT350 date of arrival ............................... 12th July 13th July no. of nights' stay ............ 1 2 how many people you are ............... 1 2 3 4 5 tent or room ................................... TENT ROOM
Friday's dinner ................................... Yes, please No, thanks
Saturday's lunch ................................... Yes, please No, thanks
Saturday's dinner ................................... Yes, please No, thanks How many Tshirts you want ......... 1 2 3 4 5 Your size .............. X-small small medium large X-large XX-large XXX-large Another Tshirt for a friend ......... 1 2 3 4 5 Which size .............. X-small small medium large X-large XX-large XXX-large
OBBLIGATORIO/OBLIGATORY
REMEMBER TO RESERVE YOUR ROOM, BED OR TENT SPACE DIRECTLY AT THE RALLY SITE
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