Euroloppet Club - Registration

To become a member of the Euroloppet-Club, please fill out the following form or download this formular as PDF: Formular

I want to become a member of the Euroloppet Club!

Angaben zur Person / Adressdaten

Euroloppet Club - Sparkasse Regen-Viechtach
Konto Nr. 22 16 02 12 - BLZ 741 514 50
IBAN DE75741514500022160212 BIC BYLADEM1REG

The membership becomes valid upon the receipt of the mempership fee of 39.- Euro (for 10 years) at the bank account upon!

You geht after receipt of the money the Euroloppet pass and the greeting gift. The Euroloppet Club membership ends after 10 years.

Privacy statement

I agree to the storage, processing and usage of my data for Euroloppet (EUC) and Euroloppet organizers purposes.

Last name
First name
Date of birth
Gender	malefemale
Street
Post-Code
City
Country
E-Mail
Phone
Fax
I have already a Euroloppet Pass	yesno
Euroloppet - Pass No.
welcome present

Fill in result please: