Title * --------- Mr Mrs Miss First name * Last name * Birthdate * Bank name : jj/mm/aaaa Email Address * Address * Complete the address Zip code * City * Country * --------- Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Democratic Republic of the Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faeroe Islands Fiji Finland France 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Ireland United States of America United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam British Virgin Islands United States Virgin Islands Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe Mobile phone Phone number Nationality * --------- Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Democratic Republic of the Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faeroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See Honduras Hong Kong Special Administrative Region of China Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Democratic People's Republic of Korea Republic of Korea Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Special Administrative Region of China The former Yugoslav Republic of Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Republic of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Occupied Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan United Republic of Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States of America United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam British Virgin Islands United States Virgin Islands Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe Numéro d'adhérent Saisissez votre numéro d'adhérent si vous en avez déjà un Année de première adhésion au club Déjà adhérent au DCF ? *

• Oui
• Non

Adhésion DOC ? * ---------- Oui Non Je ne me prononce pas, je n’ai pas suffisamment de recul sur les enjeux... Souhaite-tu t'affilier (option facultative et sans supplément de cotisation) à la Section Officielle "Ducati Owners Club" en cours de création au sein du DCF ?
Si oui, tu seras contacté par un bénévole dès que cette structure DOC sera en place.
Tu es amateur de... *

• Motos modernes
• Motos anciennes
• Balades / Voyages
• Rassemblements
• Mécanique
• Journées de roulage DCF
• Compétitions

Un choix au moins est obligatoire
Moto(s) actuelle(s) - Marque, modèle, cylindrée, année Merci de saisir une moto par ligne STP
Profession

Merci d'indiquer ta profession

Surnom

Ou Nom d'Utilisateur desmo-net, desmo-net-forum, ...

Endurance Famille * ---------- Je suis partant avec une 125cc Non merci L'endurance famille devrait voir le jour en 2024 sur un circuit de karting avec des motos de 125cc de cylindrée et d'une puissance de ±15CV maximum
Épouse + époux, parent + enfant, etc...
Equipages composés de 2 membres de la même famille.
- 4 h environ
- Changement de pilote toutes les 30 minutes
Adhésion * ---------- Adhérent "principal" du foyer (30.00€) Conjoint Pilote (compétition, JD) (30.00€) Conjoint non pilote (15.00€) Ado pilote (15.00€) Ado non-pilote, enfant