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13th M.L.A.I.C.

European Championships
NÁQUERA (VALENCIA) - SPAIN - 2009
Club Valencia de Tiro Olímpico y Club de Chest

FORM- F3: INDIVIDUAL FINAL ENTRY FORM - DEADLINE 1st JULY, 2009

Personal details
Delegate Title (Miss, Mrs or Mr) Mr

Chief of Delegation Surname(s)


Sörell
Team Captain First Name
Erik
Competitor x Date of Birth 04/27/1937 Nationality Swedwn

Perman. home address: Maria Krantzonsväg 26 S-19456 Upplands Väsby


Telephone: 46859031675 e-mail: erik.sorell2@comhem.se

Address when in Spain:

Telephone: e-mail:

Details of firearms used at Championships in Spain for MLAIC events


Nr. MLAIC EVENTS O/R Type of Firearm Make's name Cal. Serial number
2 MAXIMILIAN
3 MINIE
4 WHITWORTH
8 WALKYRIE
1 MIQUELET
14 TANEGASHIMA
16 HIZADAI
15 VETTERLI
36 PENNSYLVANIA
37 LAMARMORA
6 KUCHENREUTER R Slaglåspistol Le Page .36
7 COLT O Revolver Remington 1858 -44
12 MARIETTE R Revolver Remington 1858 .44
23 DONALD MALSON
38 REMINGTON
5 COMINAZZO R Flintlåspistol Le Page .45
28 TANZUTSU
21 MANTON
22 LORENZONI
Name of Association / Federation: Date: Team Captain's signature:

Please return this FINAL FORM by e-mail, fax or mail before 1st July, 2009 to:
Real Federación Española de Tiro Olímpico C/ Sombrerería 22, MADRID 28012 - SPAIN
Fax Nr (34) 91 527 37 21 - E-mail: areaprecision@tirolimpico.org