Registration Form for the Luxembourg National 2007, the ultimate Land Rover Meeting in Luxembourg
name:*
christian name:*
address:*
postcode:*
city:*
country:*
phone:
e-mail:
vehicle:*
modell:*
number plate:*
SELECT THE APPROPRIATE ITEM
VEHICLE:
BANK TRANSFER 70€
CASH70€
CATERING:
YES
NO
IF YOU WANT THE CATERING SERVICE, PLEASE FILL OUT BELOW:
TYPE:
PRICE:
NUMBER:
AMOUNT:
CATERING ADULT:
25€
CATERING TEENAGER:
25€
CATERING CHILD (2-10 YEARS):
10€
CATERING CHILD (0-2 YEARS):
FREE
TOTAL AMOUNT:
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