8^th EUROPEAN TOP TWELVE

WROCLAW/POLAND, 17 – 20 November 2016

HOTEL : Novotel Ibis Wrocław Centrum

Address: Powstańców Śląskich 7, 53-332 Wrocław

Country:

Sports club / Federation:

Contact person

Name:

Email:

Phone:

FIRST ENTRY FORM - PLAYERS AND OFFICIALS (no later than 24 October 2016)

PLAYERS

N.	NAME	SURNAME	Gender (M/F)	Date of birth	vegetarian ( Yes/No )
1
2
3
4
5
6

OFFICIALS

N.	NAME	SURNAME	Gender (M/F)	Position	vegetarian ( Yes/No )
1
2
3
4
5
6

Please specify function of each official in box “Position”, e.g. guide, team leader, coach, etc.

Please return this form to the Organizing Committee no later than 24 October 2016

E-mail: lubekprask@tlen.pl

SECOND ENTRY FORM - FEE FORM (no later than 31 October 2016)

	Number	Total entry fee
Players (385.00 Euro)
Officials (385.00 Euro)
Single room extra 60 Euro (445.00 Euro)
Total entry fee

The Entry Fee must be paid at ( no later than 31 October 2016)

Account holder: Lubomir Prask

Bank name: BZWBK

IBAN: PL 30 1090 2516 0000 0006 3201 5305

Bic code / Swift: WBKPPLPP

Please return this form to the Organizing Committee no later than 31 October 2016

E-mail: lubekprask@tlen.pl

THIRD ENTRY FORM - Room Arrangements FORM

Total number of people:

N.	Rooms (S / D )	Full name 1	Full name 2
1
2
3
4
5
6

Please write S=Single / D=Double in box “Rooms”

Please return this form to the Organizing Committee no later than 31 October 2016

E-mail: lubekprask@tlen.pl

FOURTH ENTRY FORM - ARRIVAL/DEPARTURE

Total number of people:

	Date	Time	Fly number	Airport/Terminal	N. of people
Arrival
Departure

Please return this form to the Organizing Committee no later than 7 November 2016

E-mail: lubekprask@tlen.pl