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Praha Bohnice (Czech Republic)
Send to:René NICOLAS
May 7th and 8th 2011
59 Fbg St NicolasF - 21200 BEAUNE
Entries form
France
e.mail: ffc.nicolas@free.fr
2011 UEC European BMX Elite and Junior Championship Series - Round 5 + 6
Name of Association
BANK ADRESSAdress
KOMERCNI BANKA
Postal CodeResidencePostal CodeName of Team manager BANK DATAS OF THE ORGANISERIBAN
CZ9001000000430932770267
Deadline
April 22th 2011
SWIFT
KOMBCZPPXXXPayment of entry fees Bank transfer Cash at registration desk
Entry fees :
Class entered for: Plate #
Family name/ first name
Nation Year Round 5 Round 6
12345678910111213141516171819202122232425TOTAL 0.00 €
Return this form by e.mail only
2011 UEC BMX European Races for challenge classes(two races)
Elite Men, Elite Women :57,00 euros, Junior Men, Junior Women35,00 euros( per round)
All Challenge classes:27,00 eurosper class (file one line per class)Entry fees will be paid by bank transfer or in cash at registration control desk (tick in the corresponding cell)
ChallengeSaturdayChallengeSunday
Entry feeEuros
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