Registration

Registration form to return by mail with your payment and photos to : 
 
GRM - Pont Peyron - 05 170 ORCIERES – France
Tel : 04 92 55 77 35 – Fax : 04 92 21 47 16

crois_blche_hist_2013_anglais.pdf

crois_blche_hist_2013_francais.pdf
Your details
Class :
car Cycle-car Moto Side car

driver
Surname *
Name *
Email
Phone *
Mobile phone. .
Adress *
Zip code *
Town *
Country *

passenger
Surname
Name

Vehicle
Mark *
Model *
registration *
Year *

You want to be in the same group as other participants? Enter the name (s) driver (s):


Prices
  • Basic price (excluding exceptional discounts *) : …………………………………485 € / person
    Includes: Welcome drink on Tuesday, the entrance fees to sites visited, the evening Briançon (meals, entertainment, hotel *** and breakfast), the buffet at the end of Friday and animation, the identification of race (plate and others), about 350 kms of road-book, souvenir gifts and supervision of the whole team Great Hikers.
  • Membership is mandatory for the driver : ………………………………… 65 €
    Valid one year from the first day of the month in which it was incurred
  • Supplement for single hotel *** Briancon : ………………………………… 30 €
  • Dinner option at Orcières 1850 (check below)

    First dinner : Tuesday evening after the presentation : 25 € / person
    yes - Number of person (s): | no

    Second dinner: Wednesday or Thursday (depending on which route you will) : 25 € / person
    yes- Number of person (s): | no
  • * Exceptional discounts

    Pre War Cars (registered before 31/12/1945) : - 100 € / vehicle
    Side car or motorcycle after War : - 50 € / vehicle

Rules
It takes place in two stages: a deposit REQUIRED 150 € per person to send with this form, the balance on the day of administrative control
I am French, I pay my deposit by check payable to the order of Grands Randonneurs Motorisés.

I'm not French, I pay by bank transfer

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GRM
Pont Peyron
05170 ORCIERES
France
Tél. 04 92 55 77 35
Fax. 04 92 21 47 16

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 La Croisière Blanche Historic randonnée touristique, culturelle et sportive ouverte à tous les véhicules d’avant et après guerre jusqu’à 1980
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