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Direct registration for the Course Open des 2 Bains

Sunday September 24th

 
With this form you can directly register and avoid additionnal costs

WARNING : Starting midnight September 22nd all registrations will cost an extra 8.-CHF we will ask for the additionnal fee when you receive your number before the race

 

 
Please read our conditions here.
 
* = Mandatory fields
Name* :
First name * :
Address* :
Postal code * :
City* :
Country* :
E-mail* :
Phone* :
Fax :
Gender :
Birthyear :
Category :

 

Your comments:

Payment method*:

Bank transfer
Invoice (payslip)
Cash on site (additionnal fee)
 

You wish to receive a confirmation by*:

fax

email
mail

Conditions :

The registrations done after midnight September 22nd will be processed with an additionnal 8.-CHF fee. We will request the payment of the additionnal fee on site when you receive your "dossard". You can also pay the whole registration fee on site until 10:00 the day of the race (with an additionnal fee).

The refund of the registration fee will only be allowed in case of a sickness or an accident, in that case we will require a medical certificate.

I hereby declare being in full physical capacity to accomplish this event.

I have also read all the rules and conditions and accept them fully.

I agree

 

 

Payment:


By bank transfer:
Banque Raiffeisen de Leytron-Saillon
1912 Leytron
Clearing : 80602
Swift : RAIFCH 22
IBAN : CH05 8060 2000 0007 27823 / Grand Prix

By creditcard (Visa, MasterCard or American Express):
Payments are processed and secured by PayPal our credit card transaction partner, it's the most secure and least expensive payment method (no transaction fees for you!)

By invoice (from Switzerland):
CCP: 19-217-7 - Banque Raiffeisen Leytron - Saillon
7278.23 Course des deux Bains « Grand Prix »

 
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