Embed Size (px)
Citation preview
2018 Nu Skin Senior European ChampionshipsSzékesfehérvár, Hungary, 17.07-23.07.2018
ENTRY FORM “B” (Preliminary)
Return no later than 25th June
Nation: _______________________ Contact Person:_______________________
Tel : ______________ Fax :_______________ E Mail: ______________________
Male AthletesSurname
First Name ID Number * Date of Birth
Female AthletesSurname
First Name ID number * Date of Birth
* Attention: No athlete will be admitted to the competition without a valid international license
Officials Surname First Name Function
Return to: Hungarian Modern Pentathlon AssociationTel.: +36 1 460 68 85 Fax: +36 1 460 68 86Email: [email protected] and [email protected]
Signature: _______________________________________
Name (printed):_______________________ Date:__________
1
