Registration form 2009

Starting Charges: Registration is possible
4 competiondays: 50 €
1 competitionday: 20 €
1 sprintevent 5 €/day 		by this inscriptionform
by telephone: 0032 16 35 35 00
by mobile phone: 0032 476 66 82 09
by email: sport@vrc.nu
e-Mail address
e-Mail address: Repeat your eMail-Address:
Your facts
Firstname:
Lastname:
Street, housenumber:
Postal Code, City:
Phone:
Fax:
Birthday:
Gender:
Club:
Competitiondays
18/07 Bredene 19/07 Oostende 20/07 Westende 21/07 Oostduinkerke Price
Oceanman
€
 
0
Surf ski Surf race Board race Beach flags & Sprint
Sprint 1900 - 1992
€
 
0
Oceanman Surf race Board race Beach flags & Sprint
Sprint 1999 - 1993
€
 
0
Closing-barbecue with party (€ 10) € 
0
Total price € 
0
 Hereby I announce obligatorily with the data indicated above, and explain myself in agreement with the exclusion of liability