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Name
Surname
Gender - Size clothing     
Language to receive communications info
Birthplace
Birthdate
Address
City
State
ZIP
Country
Phone number  home 
 office 
 mobile 
Email
Group name   IMPORTANT 
Member of a Team? (select the checkbox)
Category
Type of participant
Member of (Motoclub extended denomination)
Motoclub identification code number
Motoclub head office address  City 
 State 
FMI affiliated
FMI/UEM License n.
Motogiro d'Italia - Moto Club Terni "L. Liberati - P. Pileri" - http://www.motoclub-terni.it - Tel/fax 0744 403365 - mobile 335370928 - info@motogiroitalia.it