Registration Borders of Belgium 2022

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Personal Information

E-Mail:*

Valid e-mail is required

First Name:*

Last Name:*

Address Line 1 (street):*

Number:*

Address Line 2 (if needed):

Zip Code:*

City:*

Country:*

Gender:*

Male Female

used for sleeping arrangement

Date of Birth (dd/mm/yyyy)*

Nationality:*

your (cell) phone number (start with international code):*

will only be used during event

Club Name:

ACP code:

in case of emergency, call (start with international code):*

will only be used if needed

Please, let us know if you have any food allergies or dietary needs:

If you ride with friends/partner, please enter the name(s) here:

Payment information will be sent. Make sure your email address is valid. Check SPAM if you didn`t get an auto reply mail from us.

Don`t forget:

Attention:

By taking part the participant agrees with the rules of the organization and the rules of the ACP and

The participant declare having a waiver of liability (personal insurrance).

Here you have your options to enter the event

FULL OPTION IN CHAMPLON AND LOMMEL

All-In:

Entry fee + Bed and Breakfast + dinner + bagdrop in Champlon and Lommel:

39 left

BOB 2022 JERSEY / BIB SHORT / ACP MEDAL

Jersey:

our fantastic jersey:

Select Male or Female*

Male (Man)
Female (vrouw)

size (male and female design, see website for size table)*

BIB short:

our fantastic BIB short:

Select Male or Female*

Male (Man)
Female (vrouw)

size (male and female design, see websit for size table)*

MEDAL

Official ACP medal (available at finish line)

FREE TO CHOOSE OPTIONS (not open before 14/3/2022)

ENTRY FEE:*

BORDERS OF BELGIUM 2022:

CHAMPLON:

B&B, dinner and bagdrop:

CHAMPLON:

Dinner:

CHAMPLON:

Bagdrop:

LOMMEL:

B&B, dinner and bagdrop:

LOMMEL:

Dinner:

LOMMEL:

Bagdrop:

Grand Total:

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in UPPER CASE.

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