TIP2015 .pdf
Nom original: TIP2015.pdf
Ce document au format PDF 1.5 a été généré par / doPDF Ver 7.3 Build 387 (Windows Vista Business Edition (SP 2) - Version: 6.0.6002 (x86)), et a été envoyé sur fichier-pdf.fr le 25/03/2015 à 11:20, depuis l'adresse IP 88.187.x.x.
La présente page de téléchargement du fichier a été vue 1071 fois.
Taille du document: 12.1 Mo (5 pages).
Confidentialité: fichier public
Aperçu du document
Dear sport friends,
As every year, we organise the International Tournament of Pas-de-Calais of Canoe Polo on April 25th
and 26th 2015.
This 16th edition will be organised in the city of Saint-Omer (north of France). You will find the entry
form and information about meals and accommodations (free camping).
Best regards,
Philippe LALLIOT
President of Saint-Omer club and CDCK 62
1
ENTRY FORM
This form is to be fulfil before 5th April 2015 !
TEAM INFORMAT ION
CONTACT DETAILS
Team name
Team leader
Address
Post Code
City
Country
Phone
CATEGORY & REGISTRATION FEES
☐
Dames (if under 6 teams, dames 80 € per team
will be play in Division 2)
Division 1 (12 teams maxi)
80 € per team
☐
Division 2 (18 teams maxi)
80 € per team
☐
U16
40 € per team
☐
2
CATERING RATES
“A la carte” prices
Number of people
Saturday breakfast
Unit price
TOTAL
4,5 €
Saturday lunch
8€
Saturday dinner
12 €
Sunday breakfast
4,5 €
Sunday lunch
6,5 €
TOTAL
“All inclusive” formula
All meals
30 €
TEAM COMPOSITION
Club name
Number
SURNAME
NAME
Birth date
License Number
3
REFEREE
SURNAME
NAME
QUALIFICATIONS
MISCELLANEOUS
Camping : ☐YES
☐NO
4
GENERAL INFORMATION
PRICES MONEY
Division 1
Division 2
Dames
Winner
150 €
Finalist
100 €
3rd place
50 €
Winner
100 €
Finalist
70 €
3rd place
40 €
Winner
100 €
Finalist
70 €
3rd place
40 €
BANK DETAILS
Registrations will be definitely taken into account on receiving of the regulation.
Bank : CL Saint-Omer (06034)
Name of account holder : CDCK 62
IBAN : FR63 3000 2060 3400 0011 7029 A71
BIC : CRLYFRPP
CONTACT
Email : tipcd62@aol.com
5
Documents similaires
