BOUTIQUE of the Balloon Ride

"*" indicates required fields

Sex*

First name*

Name*

Your address (Number and street)*

Postcode*

Town*

Pays*

Mobile phone*

E-mail*

Pre-sale options only

including, road book, a set of door stickers and a T-shirt

PILOT PACK

Price: 39,00 €

including a road book, a set of door stickers, a Rallye plate and a T-shirt

Rally Pack

Price: 49,00 €

Price: 19,00 €

Price: 12,00 €

Total

T-shirt size S

T-shirt size M

T-shirt size L

XL T-shirt

XXL T-Shirt

T-shirt size XXXL

Methods of payment*

Bank card

PayPal

Bank transfer

Cheque (French banks only)

Bank card

PayPal

You will receive payment instructions by email.
As a reminder, your application will not be accepted until we have received your payment.