Contest Entry Form
Join the VIPER competition and take a shot at winning a VIPER RC3 race bike with an aluminum frame and disk brakes, worth 1.700€ and offered by DIAMOND.

* Contest solely open for participants of the BXL TOUR.
** The contest will close on 15.06.18 at 11.59pm.

Name (*)
First name (*)
Birth date (*)

Registration number (*)
Email (*):
Phone (*) :
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