Registration International Athletes (Couples) Friday July 12th, 2019 | No Comments If you wish to register a different run, return to Registration International Athletes page. Team Name *First name *Surname prefixSurname *Sex *Male FemaleStreet *House number *Zip code *City *Country *Austria Belgium Denmark France Germany Italy Poland Sweden UK OtherCountry (if other)Birthday *Phone Number *ICE (Emergency number, different than number above) *E-mail *#2 First Name *#2 Surname prefix#2 Surname *#2 Birthday *#2 Sex *Male Female#2 Zip Code *#2 City *#2 Country *Austria Belgium Denmark France Germany Italy Poland Sweden UK Other#2 Country (if other)Select race * Couple 9km (Sat 23/11, ages 15+) (€ 54,00) Couple 13km (Sun 24/11, ages 15+) (€ 62,00) Bedrag * € Payment method * Credit card (+ € 0.25 & 2.8%) Bancontact (+ € 0.39) Hierbij geef ik toestemming om het terugkerende bedrag periodiek van mijn rekening te incasseren. Submit registration Categories: default