Registration

Firstname *

Lastname *

Date of birth *

Address *

Country *

ZIP, City *

Nationality *

Different billing address

Company name

Firstname

Lastname

Address (*)

ZIP, City (*)

Country (*)

Telephone Number *

Email *

Drivers License Code *

Motorcycle brand (KTM, SUZUKI, ...) (*)

Motorcycle type (525 EXC, YZ 250, ...) (*)

I am registering for: *

[X] Iron Road Prolog

365,00 Euro

Red Bull Erzbergrodeo Main Race

110,00 Euro

XTREME CHALLENGE

10,00 Euro

Rocket Ride

85,00 Euro

Optional: Insurance Add on (click here for info)

Salvage Costs (rescue costs) Insurance (EUR 50,- for all event days)

50,00 Euro

Summe

@@prolog_price@@ Euro

The class I will start in: *

Contact in case of accident *

Telephone number of contact *

Number of companions

Team name (max. 25 characters)

Rider Picture Upload:

Message to Red Bull Erzbergrodeo administration

Comment / prediction of placement wanted

I read the Terms & Conditions und die privacy statement and accept them.

I want to be kept informed on future Erzbergrodeo venues and agree to the electronic processing of my contact data, thus my name, telephone number, address and email-address for marketing purposes and mailing of information via email, text messaging and mail by Erzbergrodeo GmbH. No personal data will be transferred to third parties. I am informed that I can revoke my consent at any time by means of email to office@redbullerzbergrodeo.com . I took further details from the privacy statement.