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Male/ Female. |
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First name |
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Surname |
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Birth date m/d/y |
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Email adres |
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Street name en nr |
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City |
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Zip code |
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Country |
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Phone number |
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Production or Performance |
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Do you have a insurance that covers
Blokarting? |
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Weight (kg) |
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T-shirt size |
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Extra adults Saturday evening diner €25,-
p.p. |
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Extra children's Saturday evening diner
€15,- p.c. |
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Special diet wishes (please mention at
comments) |
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Thursday evening diner at camping Cupido
€10,- |
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Friday evening diner at camping Cupido
€10,- |
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