TRACKER GUARANTEE
I, .………………………………………………….. Date of birth ……………………………
Currently residing at ………………………………………………………………………………………….
Commits to reimburse to the Ultracyclisme Association (registered in Bagnolet France), the sum of €200 in the event of loss, theft or deterioration of the tracker GPS, that was provided to me for the Poco Loco………………………….. event.
Signed this day of_______,_________,
Day Month Year
Signature