French Junior Open European Junior Grand Prix Entry Form |
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COUNTRY : . . . . . . . . . . . . . . . . . . . . .
N° |
SURNAME |
FIRST NAME |
BOY/ |
AGE |
NAT. RANK |
DATE |
ENTRY |
EXTRA NIGHTS |
|
GIRL |
GROUP |
OF BIRTH |
Thur 24 - Sun 27 |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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8 |
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9 |
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10 |
COACH SURNAME: |
NAME : | |||
COACH SURNAME: |
NAME : | |||
MANAGER SURNAME: |
NAME : | |||
OTHER ESCORT SURNAME: |
NAME : | |||
OTHER ESCORT SURNAME: |
NAME : |
· TOURNAMENT
ONLY = 170FF
· · PACKAGE 2 NIGHTS = 1000FF (entry + 2 nights + 5
meals)
· · · PACKAGE 3 NIGHTS = 1250FF (entry + 3 nights + 6 meals)
· · ·· SEMI-PACKAGE 3 NIGHTS = 500FF (entry + 5 meals)
EXTRA NIGHTS = 150FF (double room), 220FF (single room)
We enclose the entry fee of n° ............ tournament only X 170F (·) = | FF | |
We enclose the entry fee of n° ............ package 2 nights X 1000F (· ·) = | FF | |
We enclose the entry fee of n° ............ package 3 nights X 1250F (· · ·) = | FF | |
We enclose the entry fee of n° ............ semi- package 3 nights X 500F (· · · · ) = | FF | |
We enclose the entry fee of n° ............ extra nights (double room) X 150F = | FF | |
We enclose the entry fee of n° ............ extra nights (single room) X 220F = | FF | |
TOTAL COST FOR THIS GROUP IS = | FF |
RESPONSABLE FOR THE ABOVE NAME ENTRANTS
NAME : ........................................... ADRESS :
...............................................................................................................
........................................................................... TEL : ........................................... FAX : ...............................................
Send Form to André DELHOSTE, Squash des HALLES - 23 Place des
Halles - 67000 STRASBOURG
Home Phone 00 33 388 32 85 31 - Club Phone : 00 33 388 23 00 55 - Fax Club : 00
33 388 22 54 32
Email : delhoste@cybercable.fr
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