REGISTRATION FORM
(*)
Name
(*)
First name
(*)
Place
Postnr.
(*)
City
(*)
Day of birth
Telefon
e-mail
Motomark 1
...
Aprilia
Benelli
Beta
Bimota
BMW
Boss Hoss
Buell
Caviga
Derbi
Ducati
Enfield
Gas Gas
Ghezzi & Brian
Harley-Davidson
HM
Honda
Husaberg
Husqvarna
Hyosung
Jawa
Kawasaki
KTM
Kymco
Laverda
Moto Guzzi
Moto Morini
MV Agusta
MZ
Norton
Suzuki
Sym
Triumph
Ural
Vertemati
Yamaha
type
Capacity
cc
Motomark 2
...
Aprilia
Benelli
Beta
Bimota
BMW
Boss Hoss
Buell
Caviga
Derbi
Ducati
Enfield
Gas Gas
Ghezzi & Brian
Harley-Davidson
HM
Honda
Husaberg
Husqvarna
Hyosung
Jawa
Kawasaki
KTM
Kymco
Laverda
Moto Guzzi
Moto Morini
MV Agusta
MZ
Norton
Suzuki
Sym
Triumph
Ural
Vertemati
Yamaha
type
Capacity
cc
Motomark 3
...
Aprilia
Benelli
Beta
Bimota
BMW
Boss Hoss
Buell
Caviga
Derbi
Ducati
Enfield
Gas Gas
Ghezzi & Brian
Harley-Davidson
HM
Honda
Husaberg
Husqvarna
Hyosung
Jawa
Kawasaki
KTM
Kymco
Laverda
Moto Guzzi
Moto Morini
MV Agusta
MZ
Norton
Suzuki
Sym
Triumph
Ural
Vertemati
Yamaha
type
Capacity
cc
Wish information
...
The Club
To Pay
Meetings ?
How register
Others
of tel. the president +32.476-737.303 / 056-776.005
Wish to pay bay way of
...
Cash on the meeting
pay into an account
reknr.
385-0586799-12
20,00€/year/p/p
Man
Wife
Pilot
Duo
(*) Obliged fill