Registration Form – Administratiekantoor X. Hensing

Before filling in the registration form below, read the page about the storage of your data: GDPR

By completing this, I agree with the regulations of this Super Randonnée.

After receipt of the registration fee of € 10,00, the registration will be processed further. You will receive the bankdetails by mail after we received this form.

Your First Name: (required)

Your Last Name: (required)

Your Email: (required)

Your Address: (required)

Your Zipcode: (required)

Your Residence: (required)

Select your Country: (required)

Select your Nationality: (required)

Your Gender: (required)

Select your cycling club: (required)

Selecteer your bike: (required)

I am going to cycle this tour according to the formula: (required)

I do the time checks: (required)

Your Startdate (dd-mm-yyyy): (required)

Select your Starttime: (required)

Your Message

By registering I agree with the data storage as indicated in the GDPR

By registering I agree with the rules of the ACP as described on the website

What is the abbreviation of Liège-Bastogne-Liège?