TERRE DI MOTO srl IN PARTNERSHIP WITH INT ERN ATIONA ITALIAN MOTORCYCLE CHAMPIONSHIP L OFFICIAL CUSTOM SHOW final IVA LI THE ONLY ONE ITALIAN STAGE L I TA LIGNANO SABBIADORO 1 5 -1 8 M AY 2 0 14 AN ST RAL FE K LY ~ R A C E ~ R O C finale imc - lignano sabbiadoro 15 - 18 maY 2014 GREAT PRIZES: THREE FLIGHTS TO DAYTONA BIKE WEEK 2015 AND THREE TRAVELS TO AMD WORLD FINAL 2015 REGISTRATION FORM I WOULD LIKE TO ENTER BIKE SHOW I ATTACH TWO OR MORE PICTURES OF MY BIKE. SUBSCRIPTION COST IS 61,00 EUROS. BIG PRIZES ARE 3 FLIGHTS TO DAYTONA BIKE WEEK AND ONE FLIGHT TO AMD FINAL STAGE 2015. OWNER FIRST NAME LAST NAME ADDRESSE CITY PHONE MAIL TAX CODE TAX EXEMPT NUMBER BUILDER NAME LAST NAME ZIP CODE FIRM ADDRESSE CITY PHONE MAIL TAX CODE TAX EXEMPT NUMBER MAKE MODEL TYPE: FREESTYLE METRIC MODIFIED H-D OLD STYLE ST. FIGTHER/SP. BIKE ZIP CODE CAFÉ RACER BAGGER SCRAMBLER SPECIAL PARTS BANK TRANSFER - IT64G0863763920000023031094 ASSIGNED TO: TERRE DI MOTO SRL - VIA TIVERIACCO N. 4 - 33030 MAJANO (UD) BIC - CCRTIT2T99A SIGNATURE WITH REFERENCE TO D. DECREE 196/2003 ON THE PROTECTION OF PRIVACY, THE PROCESSING OF DATA IS AIMED AT MANAGING THE REQUEST FOR REGISTRATION SEND TO: TERRE DI MOTO srl tel +39 0432 948272 - fax +39 0432 948606 - mail [email protected]
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