Registration form

Spinning marathon, May 30th

 

First name
Last name
Team	Yes No
Name team
Team members (optional)
Team member 2
Team member 3
Team member 4
Phone number
E-mail
Contribution (non refundable)	Bank transfer Please transfer your contribution (€50) to ING 65.76.18.705 (until May 20th latest) with specification: 38500300N and name
	Cash (before May 25th) Kapoenstraat 2, room 0.008