REGISTRATION FORM

FIRST AND LAST NAME SHOULD BE FILLED ONLY WITH LATIN LETTERS. EXAMPLE: Ivan Ivanov

All fields are required

Payment
Company - A. O. Sports Club "SPORTER"
Tax ID / IDNO 1013620009909
IBAN: MD53VI000002224003323 MDL
IBAN: MD08VI022240300000041 USD
IBAN: MD58VI022240300000041 EUR
Victoriabank S.A. Phil. №3. Chisinau
c / b: VICBMD2X416
Address: MD-2069, str. Ion Neculce 5 mun. Chisinau, Moldova
The Payment for participation in the Wine Run shall be effected at our office at the following address: 5 ION NECULCE street, until the 26th of January.

We work:
Monday – Friday – 9:00 – 18:00