Registration

 Attention:

  1. Please read carefully Bali Audax Rule before submit at  http://baliaudax.com/bali-audax-rule/
  2. I have read the rules of Bali Audax  and accept them without reservation.
  3. Please Transfer Entry Fee and evidence of transfer at the same time you send the registration form
  4. You will get a confirmation email from the committee if you have completed the registration requirements

Hotel / Accomodations:  

Bali Audax 2019 will be use the hotel  …….. and at Lovina ……………………

Registration Time: 

A. Period 29th April to 29th May 2019 – Register time for Bali Audax Climbing

B. Period  10th September   to 10th  October 2019  –  register time for  BALI AUDAX  Classic Route.

PAYMENT of ENTRY FEE  including : 3 nights +  breakfast  / 2 times lunch / 2 times dinner/ airport transfer , free refreshments during cycling, medal finisher and 1 pc jersey.

Transfer Bank Indonesia

IDR. 3.900.000 (twin room)

and IDR. 4.700.000 ( single room)

Bank Central Asia (KCU Kuta)
Jl. Raya Kuta No. 55X Denpasar Bali 80361, Indonesia

Name : I Wayan Kertayasa
No. Rekening/Account number : 1 4 6 1 7 0 1 5 7 0
Swift Code : CENAIDJA

or

Transfer PAYPAL
Paypal Account : sport@balicycling.com
for paypal USD 320 (Share Room)  and USD 385 (Single Room) (*tax included)

ukuran jersey sepeda

 

 

IMG-20180522-WA0015

ROUTE : https://www.strava.com/routes/15744513

Strava Group : https://www.strava.com/clubs/473003/members

or https://www.strava.com/clubs/baliaudax

*All info about distance/km any time can change, we will send the update quickly

Title (required)

Your Name (required)

Transfer Entry Fee ID (required)

Your Email (required)

No. KTP / Pasport /Foreigner with Passport Copy(required)

Telephone(required)

Address

City

Zip Code

Nationality

Sex (required)

Date of birth (D/M/Y) (required)

Room (required)

Jersey Size (required)

Own Insurance by (not required)

Insurance No (not required)

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