[ Galette ]

Subscription

Team de La Madone des Motards : La Madone des Motards de Porcaro vous propose des stages de perfectionnement, des stages piste, des balades, des pèlerinages, des animations tout au long de l'année

NB : The mandatory fields are in red

Identity:

Do you manage a non profit organization, or a company? If you do so, check the box, and then enter its name in the field that will appear.

(mm/dd/yyyy format)

Contact information:


Galette-related data:

If you check this box (and if you are up to date with your contributions), your full name, status and city will be visilbe on the members list, and, if applicable, a link to your website or Facebook page.
If you've uploaded a photo, it will be displayed on the trombinoscope page.
You can change this option at any time..

(at least 2 characters)

Password image Please repeat in the field the password shown in the image. You can change it later, when you have received your identifiers by e-mail.


Additionnal fields:
MY MOTORCYCLE(S)


Enter up to 3 occurences.


Enter up to 3 occurences.


Enter up to 3 occurences.

DRIVING LICENCE & INSURANCE
(If you don't have a motorcycle, enter
'Null' in the following five fields)


(mm/dd/yyyy format)


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LEGAL CONDITIONS

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