EPR 2008 Register

.: Registration 2nd European Posse Ride 2010 Please fill in all fields marked with a *
Bank Details	Account : IBAN : BE76 7380 2319 0395 - BIC code : KREDBEBB Payable to : European Posse Ride vzw
Participant Information
First Name	*
Last Name	*
Gender	*
Address	*
City or State	*
Postal Code (ZIP)	*
Country	*
Phone (Int.)	*
E-mail	*
Bike
License Plate
Shirt Size	*
Hotel	* All prices are based on a double room occupancy (2000 € pp) - You can also choose to share a room with an other participant if you are travelling alone or book a single room (600 € supplement)

Partner Information
Partner First Name
Partner Last Name
Partner Shirt Size

Bike Rental	If you need a rental bike don't forget to go to the Bike Rental Page after submitting this form (Available soon)
Rental	* Choose Yes if you require a rental bike