Please install Flash® plugin.


Worldloppet emblem order form


Family name:
First name:
Worldloppet passport No:
Worldloppet Master No:
Address:
Zip code:
City:
State:
E-mail:
Phone:
Fax:

The price of a WORLDLOPPET LOGO emblem is EUR 10.-
and the price of a WORLDLOPPET MASTER emblem is also
EUR 10.-. Please pay by Credit Card.

I order WORLDLOPPET LOGO emblem:
(Amount) x EUR 10.- =(sum)
I order WORLDLOPPET MASTER emblem:
(Amount) x EUR 10.- =(sum)

Worldloppet General Secretariat - Loc Stalimen 4, I-38037 Predazzo, Italy | Phone: +39 0462 501110 | Fax: +39 0462 501120 |
E-mail: info@worldloppet.com | powered by: juniper-XS | impressum | All rights reserved