Registration

Event: Please select your event! 33. PUMA Herzoman 2. HERZORUN
Activity: Please select your activiy! Hauptlauf Hobby-/Firmenlauf Elitelauf 5km Jugend U16 Kinder U14 Kinder U8-U12 Bambini Nordic Walking

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Contribution 8 €

Title
Firstname
Lastname
Sex - male female
Birthday (dd.mm.yyyy)
Nationality Afganistan AFR Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Aruba Australia Azerbaijan Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnien Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Cote d Ivoire Cuba Cyprus Czech Republic Denmark Deutschland Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Federated States of Micronesia Fiji Finland France FRG Gabon Georgia Ghana Great Britain Grenada Griechenland Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kroatioen Kuwait Kyrgyzstan Laos Latvia Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Mauritania Mauritius Mexico Moldova Monaco Mongolia Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Nigeria North Korea Norway Oman Österreich Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of South Africa Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Schweiz Senegal Seychelles Sierra Leone Singapore Slovakia Slowenien Solomon Islands Somalia South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Syria Taiwan (Chinese Taipei) Tajikistan Tanzania TCH Thailand The Bahamas The Gambia Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Uganda Ukraine Ungarn United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Yemen Yugoslavia Zambia Zimbabwe
Street
Postcode
City
State Afganistan AFR Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Aruba Australia Azerbaijan Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnien Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Cote d Ivoire Cuba Cyprus Czech Republic Denmark Deutschland Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Federated States of Micronesia Fiji Finland France FRG Gabon Georgia Ghana Great Britain Grenada Griechenland Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kroatioen Kuwait Kyrgyzstan Laos Latvia Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Mauritania Mauritius Mexico Moldova Monaco Mongolia Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Nigeria North Korea Norway Oman Österreich Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of South Africa Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Schweiz Senegal Seychelles Sierra Leone Singapore Slovakia Slowenien Solomon Islands Somalia South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Syria Taiwan (Chinese Taipei) Tajikistan Tanzania TCH Thailand The Bahamas The Gambia Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Uganda Ukraine Ungarn United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Yemen Yugoslavia Zambia Zimbabwe
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email
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vest number

Pers. bests

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The entry fee will be debited after registration by direct debit.
By registering, the applicant agrees to the collection of the entry fee by debiting.

We ask for your understanding that in the event of non-participation already paid entry fees will not be refunded!

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