· web viewmix relay? category birth arrival date time flight departure date time flight room...
TRANSCRIPT
UIPM BIATHLE & TRIATHLE OPEN EUROPEAN CHAMPIONSHIPSSETÚBAL BAY, PORTUGAL 14TH/16TH JULY 2017
FINAL ENTRY FORM (Final)
Return no later than 30th June 2017
Please complete using capital letters
Nation: _________________________ Contact Person:___________________________
Tel :__________________ Fax :_______________ E Mail: ________________________
NR. ATHLETE NAME M/FBIATHLE?
TRIATHLE?MIX RELAY?
CATEGORY BIRTH ARRIVAL DATE TIME FLIGHT DEPARTURE
DATE TIME FLIGHT ROOM TYPE (Sgl/Dbl/Tpl)
TSHIRTXS S M L XL
NR.COACH NAME
OFFICIAL NAMEOTHER
M/F FUNCTION - BIRTH ARRIVAL DATE TIME FLIGHT DEPARTURE
DATE TIME FLIGHT ROOM TYPE (Sgl/Dbl/Tpl)
TSHIRTXS S M L XL
Signature:___________________________ Name (printed):______________________ Date:_____________________________
Return to: Federação Portuguesa do Pentatlo Moderno Email: [email protected]
BANK DETAILSName of the Bank: Caixa Geral de Depósitos, Agência Gare do Oriente Account number: 0344 006261 930 IBAN: PT50 0035 034400006261930 16 SWIFT: CGDIPTPL