Bike-Dreams : 100 Cols
 
100 Cols
 

Registration Form "100 Cols 2022"

 

Please fill in all fields marked with an asterisk *
You can also download the Brochure and send the filled Registration Form to Bike Dreams.
The Booking Conditions form an essential part of the registration procedure and are inserted in the brochure.

 

First Name*  
Last Name*  
Address*  
Postal / ZIP code*
Town / City*  
Province / State  
Country*  
Telephone*  
Mobile  
Email*  
Nationality*  
Date of Birth*  
Gender* Male
Female
 		  
Tour* 100 Cols ( Strassbourg - Strassbourg )
        ( or one or two sections )  
  Section 1 : Bourgogne, Massif Central
 ( Strasbourg - Pau )
  Section 2 : Pyrenees, Cevennes ( Pau - Malaucène )
  Section 3 : Provence, Alps, Jura, Vosges
 
 ( Malaucène - Strasbourg )
Cyclist / Non-cyclist* Cyclist
Non-cyclist
 		  
Shirt size*  (Note)