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GIETMAN ROAD BIKE SERIES 2019

Attention:

  1. Please read carefully GIETMAN Road Bike Rule before submit at http://mtbman.org/about/
  2. I have read the rules of GIETMAN Road Bike and accept them without reservation
  3. Fill out the Form online with your email account, Immediately make a transfer payment in the account listed & attach evidence of transfer. By completing the form and transfer payment you will get a reply email from the committee for confirmation has fulfilled the registration requirement and officially become the participant.

Operasional Donation Register :

Periode 1 : 10 Agustus – 30 September 2019 : IDR. 150.000

* IDR. 100.000 (BALI ID)

Periode 2 : 01 – 10 Oktober 2019 : IDR. 200.000

*Semua Periode Junior <17yo : IDR. 50.000

package rate

* Online registration at www.gietman.org
– Immediately make transfer payments in the registered account.
– Fill in the Form online with your email account
– Attach proof of transfer in email and send.
– By filling out the form and transfer payment, you will get an email reply from the committee for confirmation that it has fulfilled the registration requirements and officially becomes a participant.

* Offline registration at Rodalink Teuku Umar Denpasar
– Fill in the form provided
– Make a direct / cash payment on the spot.
– By filling out the form and payment, you have officially become a participant.

Including : STARTER KITS NUMBER, REFRESHMENTS & LUNCH, KOM PODIUM PRIZE, LUCKY DRAW.

Press Release Event: 20 Oktober 2019

– Starter kit Collection & personal technical meeting. :  02 November 2019 di Rodalink Denpasar, 12.00 – 15.00  (Hours of free arrival between these times).

Race : 03 November 2019 – Harris Denpasar (Cokroaminoto), 06:00am

Transfer address :

Bank Indonesia Account : Bank Rakyat Indonesia, Kantor Cabang Kuta

Jl. Dewi Sri No. 99X – Kuta – Badung – Bali – Indonesia

Swift Code : B R I N I D J A

NAME : YAYASAN ATLIT NUSANTARA

ACCOUNT NO. : 055 601 000 699 309

jersey gietman

………………………………………………………………………………………………………………………………………………………………………………

Your Name (required)

Evidence of transfer code (required)

No KTP / Pasport (required)

Your Email (required)

Telephone

Street

Zip code

City

Nationality

Sex

Date of birth (DD-MM-YYYY)

category

Your Message



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