Formulaire d'inscription / Entry form

Inscriptions à partir du 15 novembre 2022 / Registration starts November 15, 2022

Nom / Name*

Course de 50 km ou 150 km? /50 km or 150 km Race?*

Numéro de membre MACQ / MACQ member number *

Email*

Téléphone / Phone number*

Date de naissance / Date of birth*

Occupation

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La boréale 150

Frais d'inscription 50 km / Registration fees 50 km

C$ 150.00

Frais d'inscription 150 km / Registration fees 150 km

C$ 250.00

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