Nominative Entry Form

Club/Federation*
Head of delegation*
Address
Postal code
City/Town
Country*
Phone/Mobile*
E-mail*
Coach I Team Manager
Coach II Doctor
Coach III Physiotherapist
Judge I Brevet
Judge II Brevet
Other guest:

ARRIVING IN ITALY:

Transport*:Airport:
Arrival date:Departure date:
Arrival time:Departure time:
Flight no:Flight no:
Arrival Notes:
Do you need OC transfer from/to airport?*
YESNO
How many persons?
Tranfer Notes:

Nominative List P/G

Combination

MF

MF

MF

MF


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