Tilmelding
Kode*
(Selvvalgt kode)
(Gentag kode)
Sailor Entry OPTI A CUP 2011
Sailing Club*
Club - shortform*
Boat Class*
GOLD fleet
SILVER fleet
Nation*
DEN
SWE
NOR
GER
NED
FIN
BEL
other
Sailno*
Name*
Birthdate & year*
dd-mm-år
Sex*
Boy
Girl
Adress
Postalcode
Town
E- Mail adr.*
Tel. number
Helper name
Mobil no
Reservation & payment
Camping is not possible before friday
Sailor entry
Antal:
á DKK
DKK
Breakfast and packed lunch
Antal:
á DKK
DKK
Dinner Friday
Antal:
á DKK
DKK
Dinner Saturday
Antal:
á DKK
DKK
Caravan or tent incl electricity pr day
Antal:
á DKK
DKK
Total in Dkr.
DKK
Comment to entry:
Amount transfered to account no.: 9797 0000151335. or IBAN no. DK98 9797 0000 1513 35, SWIFT-BIC BRSLDK21. Please state name and sailno.
Note - Payment after 12.9.2011 entry will be raised with 50% to 375,-dkr. Please pay for 1 sailor pr. transaction.