Registration International Athletes (Couples)

Team Name *

First name *

Surname prefix

Surname *

Sex *
Male Female

Street *

House number *

Zip code *

City *

Country *
Austria Belgium Denmark France Germany Italy Poland Sweden UK Other

Country (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%)
• PayPal (+ € 13)
• SOFORT Banking (+ € 0.25 & 0.9%)
• Bancontact (+ € 0.39)
• KBC/CBC Payment Button (+ € 0.25 & 0.9%)
• ING Home'Pay (+ € 0.25 & 0.9%)
• Przelewy24 (+ € 0.25 & 2.2%)

Submit registration