Media Registration - Bike Connection Agency

USER ACCOUNT INFORMATION

First Name*

Last Name*

E-mail Address*

Username*

Password*

Confirm Password*

PERSONAL INFORMATION

Full name (as printed in Identity Document/Passport used for flying)*

Birth Date*

Cell Phone Number (including international prefix)*

Eating Restrictions -Food Allergies

EMERGENCY CONTACT

Emergency Name*

Emergency Cell Phone Number (including international prefix)*

Emergency Relationship*

PROFESSIONAL INFORMATION

Job Title*

Pubblication / Website / Channel Name*

Riding Categories Covered*

MTB CLOTHING/HELMET SIZING

Shirt/Jersey

Jacket/Sweatshirt

Knee Pads

Helmet

Pants/Shorts

Gloves

Elbow Pads

Shoes Size

MTB SIZING

Frame Size

Weight

Preferred Handlebar Width

Pedals - Flats/Clips

Brake Setup (rear brake right or left)

Preferred Stem Length

ROAD CLOTHING/HELMET SIZING

Shirt/Jersey

Jacket/Sweatshirt

Helmet

Pants/Shorts

Gloves

Shoes Size

ROAD BIKE SIZING

Frame Size (Preferred)

Brake Setup (rear brake right or left)

Preferred Stem Length

Saddle Height (in mm)

Preferred Handlebar Width

Pedal Brand

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