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World Masters 2006 direct registration

Saturday September 23rd

 

With this form you can register directly without any additionnal fees.

WARNING : The registration date limit is midnight September 15th.

 

 
Please see our conditions here.
 
* = mandatory fields
Name* :
First name * :
Address* :
Postal code * :
City* :
Country* :
E-mail* :
Phone* :
Fax :
Gender :
Year of birth :
Category :

 

Comments :

Payment method *:

Bank transfer
Invoice (payslip)
 

You wish to receive a confirmation by *:

fax

email
mail

 

I will come to the Pasta Party Friday September 22nd

 

Conditions :

The refund of the registration fee will only be allowed in case of a sickness or an accident, in that case we will require a medical certificate.

 

I hereby declare being in full physical capacity to accomplish this event.

I have also read all the rules and conditions and accept them fully.

I agree

 

Payment:


By bank transfer :
Banque Raiffeisen de Leytron-Saillon
1912 Leytron
Clearing : 80602
Swift : RAIFCH 22
IBAN : CH65 8060 2000 0007 27810 / World Masters

By creditcard (Visa, MasterCard or American Express):
Payments are processed and secured by PayPal our credit card transaction partner, it's the most secure and least expensive payment method (no transaction fees for you!)

By payslip (from Switzerland) :

CCP: 19-217-7 - Banque Raiffeisen Leytron - Saillon
7278.10 Course des deux Bains «World Masters»
(latest Monday 11 september 2006)

 

 
Return to the form by clicking here.
 
 
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