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Registration for  Vänern Runt 2019, May 24, 2019

Welcome!

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Please fill the form carefully. At the end you will be transfered to a secure webpage, where you pay your entry fee with VISA- or Mastercard. All payment details are sent encrypted between your computer and the server. A reciept will be sent to the email address you enter below.

The cost for registering is:
2600 SEK until 30 April 2019
3300 SEK until 19 May 2019


Personal data
Fields marked with  * are mandatory.
First name: *  
Last name: *  
Street address: *  
Zip code: *  
City: *  
Country: *  
Date of birth (DDMMYYYY): *  
E-mail address: *  
Phone: *  
Club/City: *  

Do you have a discount code?

Additional information
I would like to register :  *
  Yes
 
 
I would like to cycle in a group that averages approximately this speed:  *  
  24-25 km/hour
  26-27 km/hour
  28-29 km/hour
  30-31 km/hour
  32-33 km/hour
  34-35 km/hour
  Faster then 36 km/hour
 
 
I would like to cycle in the same group as:  *    
 
I have the following food allergies:  *    
 
Earlier starts in Vänern Runt, specify how many.:  *  
 
Additional information for Vänern Runt:  
 
 
   
  Örebrocyklisterna
Adolfsbergsvägen 4
Box 85, 701 41 Örebro
Telefon: Swish 1236901128
E-post: cykel@orebrocyklisterna.se
Orgnr: 875001-1556
Plusgiro: 84408-4
Bankgiro: 5235-9205
   
   
Samarbetspartners: