Het inschrijfformulier kan je hier downloaden, WORD of PDF.
Een voorlopige en later definitieve, deelnemerslijst van de renners kan je vinden op de procyclingstats site https://www.procyclingstats.com
DEELNEMERSLIJST VAN NAAM: _________________________________
HOE WILT U UW PLOEG NOEMEN?: ______________________________
ADRES: __________________________________________________________
POSTCODE en WOONPLAATS: ___________________________________
TELEFOON: ______________________________________________________
BANKREKENING: ________________________________________________
RENNERS+rugnummers (indien bekend)
1 ________________________________________________________________
2 ________________________________________________________________
3 ________________________________________________________________
4 ________________________________________________________________
5 ________________________________________________________________
6 ________________________________________________________________
7 ________________________________________________________________
8 ________________________________________________________________
9 ________________________________________________________________
10 _______________________________________________________________
11 _______________________________________________________________
12 _______________________________________________________________
13 _______________________________________________________________
14 _______________________________________________________________
15 _______________________________________________________________
Reserves:
1 ________________________________________________________________
2 ________________________________________________________________
3 ________________________________________________________________
Tourwinnaar: ____________________________________________________
Puntenklassement: ______________________________________________
Bergklassement: ________________________________________________