Thank you for your interest in participating at the first edition of the E-XBike World cup during the MXGP event held at the "Autodromo Enzo e Dino Ferrari" in Imola, Italy

To participate, please fill out the form completely and submit it. After it has been processesed, we will inform you by email about the further steps and with a link to pay the entry fee.

The entry fee to participate at the event will be 200 Euro per rider and it will include the following:

- Passes for the rider and two additional team members
- Parking pass for the paddock
- Costs for the license and the insurance
- Transponder (to be returned after the race)
- Finisher T-Shirt and Finisher medal

As the space is limited, don't wait to long to request an entry. And to be part of this unforgetable event.

Please take care to enter the correct data.
- Without entering a valid e-mail address we can't send you any information about your entry requests.
- Without selecting the right federation your entry requests can't be forwarded to your federation.

The email address has to be unique per rider as an identification. So the same email address can't be used for more than one rider.

In case of any problems please send an email to sportoffice@mxgp.com

Last/Family Name:

First Name:

Birthdate (dd.mm.yyyy):

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Gender:

male

female

Riders Address

Address 1:

Address 2:

Postal Code:

City:

Country:

Mobile number:

Nationality:

Federation:

E-Bike make/brand:

E-Bike type:

max 250W, electric support up to 25 km/h

more than 250 W, electric support up to 45 km/h

Email address:

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