Mercedes BYmyCAR Trophy
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Lastname*
Company*
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Email*
Mobile nbr.*
I was invited by* Mercedes BYmyCAR BrusselsMercedes BYmyCAR Wavre
Federation nbr. *
Handicap (max. 36)*
Actual Car*
I will attend to*Competition + dinerCompetition only
Team mate (if possible)
I agree to receive information about BYmyCAR Group by SMS
I agree to receive information about BYmyCAR Group by email
I agree to receive information about BYmyCAR Group by phone
