Registration

Needed information

Name of the Super Randonnée

Last Name

First Name

Date of Birth

Mailing Address (where the documents will be sent)

Club Affiliation (or « no license »)

Club Name (or « independant rider »)

Option: Randonneur or Touriste

if Randonneur, please indicate date and starting time

By registering for the Super Randonnée, the participant declares on his/her honor that he/she is in sufficient physical condition to complete the course chosen, and to have read the safety instructions.

The information can be sent by e-mail to the organizer

sophie.matter@audax-club-parisien.com

Payment

5 euros (If you are FFCT member : 3 euros)

Payment via PayPal: send 5,50 euros at mattersophie@gmail.com

(for FFCT members : 3,50 euros)

Bank transfer: please contact us for the bank details

Money orders or checks (only if drawn from a French bank) must be payable to Audax Club Parisien and sent to :

Sophie Matter

3960 ancien chemin de Salernes

83570 Cotignac

FRANCE

No general medal available. For the SR Dauphiné Gratiné, a special medal can be ordered in case of success. Please ask the organizer.