Artevelde Cup

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Subscriptions

You want to participate with your team to this handball event?

Please return the application form below no later than May 1, 2012 ,
in addition to a payment of 75 EUR per particating team on bank account
390-0463762-60 (IBAN = BE73 3900 4637 6260 BIC = BBRUBEBB).

Make sure you add this reference to the payment: Subscription Artevelde Youth Cup.

For the second team you pay 65 EUR, for the third, fourth,… you pay 55 EUR.

Payments via deposit need to be done before May 1, 2012, close of business. All teams need to bring a referee along.

Category Welpen (born '01-'02-'03) are playing 3 players +keeper and with softball. Subscription fee is 40 EUR, the discount does not apply for this team!

Subscription form

Team :

Responsible:
Name :
First Name :
Street :
Number :
Zip code :
Town :
Telephone :
E-mail :
Name Referee:

Our team will take place in following categories :
Boys/Girls born 01-02-03 (Welpen):
Boys born 99-00 (Pupillen J):
Girls born 99-00 (Pupillen M):
Boys born 97-98 (Miniemen J):
Girls born 97-98 (Miniemen M):
Boys born 95-96 (Kadetten J):
Girls born 95-96 (Kadetten M):
We pay the subscription fee of (75 EUR per team/ 2nd team 65 EUR / 3rd, 4th,… 55 EUR / 40 EUR for Welpen category) via deposit on 390-0463762-60 attn. Handbalclub Don Bosco Gent, Surkelbulk 6, B-9051 St-Denijs-Westrem.

We order following meals:
Number of dinners on Friday May 25:
Number of breakfasts on Saturday May 26:
Number of dinners on Saturday May 26:
Number of breakfasts on Sunday May 27:

We'll arrive on Friday evening May 25, 2012: Yes No
Comments or need more information: