JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bxl Tour Fondation Michel Cremer Dimanche 16/06/2019
Inscription pour recevoir un T-Shirt
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Je confirme ma participation aux BXL Tour et souhaite recevoir un T-shirt
Nom
*
Your answer
Prénom
*
Your answer
Votre n° de GSM
*
Your answer
Taille du t-shirt
*
XS
S
M
L
XL
XXL
XXXL
Other:
Aperçu du T-shirt
Etes-vous partant pour nous retrouver et boire un verre après la course?
oui
Non
peut-être
Clear selection
Autres remarques ou commentaires
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
