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 before register

Registration Time: 

A.  Period 15th May to 15th June  2017 –  register time for  Bali AUDAX  Classic 400 km.

B.  Period  2nd  September  to 2 October 2017  register time for  Bali AUDAX  Climbing  254 km.

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

Transfer Bank Indonesia

Rp. 3.500.000 (twin room) and Rp. 4.200.000 ( 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 : balicycling@yahoo.co.uk
for paypal USD 280 (Share Room)  and USD 336 (Single Room) (*tax included)

jersey bali audax 2015

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)

Leave Us A Note

 

 

 

Please register for the cyclist advanced skill level only

 

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