La Madone des Motards de Porcaro vous propose des stages de perfectionnement, des stages piste, des balades, des pèlerinages, des animations tout au long de l'année - Subscription

NB : The mandatory fields are in red

Identity:

Title:

Name:

First name:

Is company? Do you manage a non profit organization, or a company? If you do so, check the box, and then enter its name in the field that will appear.

Nickname:

Birth date: (yyyy-mm-dd format)

Language:

Contact information:

Address:
Address (continuation)

Zip Code:

City:

Country:

Phone:

Mobile phone:

E-Mail:

Website:

Galette-related data:

Be visible in the members list: If you check this box (and if you are up to date with your contributions), your full name, website address ad other information will be publically visible on the members list.
If you've uploaded a photo, it will be displayed on the trombinoscope page.
Note that administrators can disabled public pages, this setting will have no effect in that case.

Username: (at least 2 characters)

Password: Password image A link will be sent to you if you have provided an email address. Otherwise, you can use this password to login, and we recommend you to change it as soon as possible. Please repeat in the field the password shown in the image.

Other information:

Additionnal fields:

MY MOTORCYCLE(S)

My motorcycle(s) brand(s)

Enter up to 2 more occurences.

Model (respect the order) :

Enter up to 2 more occurences.

Registration(s) :

Enter up to 2 more occurences.

DRIVING LICENCE & INSURANCE

(If you don't have a motorcycle, enter

'Null' in the following five fields)

Driving Licence N°:

Issued on: (yyyy-mm-dd format)

By:

- - - - - - - -

Insurance company :

Contract number:

Membership conditions

Conditions d'adhésion :

I accept the conditions of membership