2015 EMC Wloclawek

ENTRY FORM of National Team

Nation: ……………………………………………………………………………………………………              

National Airsports Control of: …………………………………………………………………………

We wish to enter the following competitors who qualify under the FAI Nationality or `Residence Rules (General Section 3.7):

This amount is enclosed/will be paid by (date)   ............................................................... in the form of (currency) ........................................................

Team Leader’s Contact Data:


E-mail:   ………………………………………..

Phone number:   …………………………………………

Signed:                                                       Position in NAC:              

Print Name:                                                       Place and Date:              

IMPORTANT NOTES:                                                                                                                                                           BANK INFO:

1.        The closing date for the receipt of entry fees is 28 days before the start of the event .                                                         Beneficiary name:      AEROKLUB WŁOCŁAWSKI

All fees have to be paid in full and organizer’s bank must receive payment no later than 18.07.2015 .                             Beneficiary address:  Lotnisko Kruszyn 87-853 KRUSZYN

Late entries may not be accepted. We declare that the above information is true.                                                         Bank name:                 Millenium Bank

2.        Please mark all payments with “EMC 2015”.                                                                                                                 Bank address:             Al. Jerozolimskie 123A 02-017 WARSZAWA

3.        The Entry Form of National Team must be sent via e-mail and post to the organizers no later than 18.07.2015 .               IBAN:                                    PL 94 1160 2202 0000 0000 8330 1354

4.        All fees and prices according  to the Bulletin No.1 .                                                                                                   A/C No.:                                    94 1160 2202 0000 0000 8330 1354

Swift Code /BIC/:                      BIGBPLPWXXX