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Ficc 59th youth rally application form

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					         2009年 59屆 大會 國際 青年 臺灣                                                    報名表 - Application form                            59th FICC International Youthrally 2009 Taiwan




                                                               FICC 59th youth rally Application Form
                                                                                                                                      Educational    rally
                                                                                                                                                                 tour
                                                                                                                                      Session of     free&parti-          Will you sleep
                                                                                                                                                                 around
                                                                                                                                      Chinese        cipation             in tent / room
                                                                                                                                                                 Taiwan
                                                                                                                                      Culture        youth rally
               Information on the participants (please write the information of the contact person first)

                                                                                                                                      7/11-21        7/22-26    7/27-31 Will you sleep
                                                                                                                                      €300           €50&€200   €300    in tent / room

  1                                                                                                                                                                     Select
Contact 姓 - 名:family name - first name                 通訊地址 Home/postal address         國 - 籍:country - city   CCI號碼 CCI no.                                            accommodati
person …                                               ...                              ...                    ...                        Select       Select    Select on type
年齡 Age    生日 birthday                        血 型                  性 別 Sex               護照號碼 Passportnr        航空 Airline code ..
                                ../../….
  .       mm/dd/yyyy                       Bloodtype       …      male-female     …     …                      班機 Flight no. ..
   2      姓 - 名:family name - first name               通訊地址 Home / post address         國 - 籍:country - city   CCI號碼 CCI no.
          …                                            ...                              ...                    ...                        Select           Select accommodation type
                                                                                                                                                       Select   Select
年齡 Age    生日 birthday                        血 型                  性 別 Sex               護照號碼 Passportnr        航空 Airline code ..
                             ../../….
  .       mm/dd/yyyy                       Bloodtype       …      male-female     …     …                      班機 Flight no. ..
   3      姓 - 名:family name - first name               通訊地址 Home / post address         國 - 籍:country - city   CCI號碼 CCI no.
          …                                            ...                              ...                    ...                        Select           Select accommodation type
                                                                                                                                                       Select   Select
年齡 Age    生日 birthday                        血 型                  性 別 Sex               護照號碼 Passportnr        航空 Airline code ..
                             ../../….
  .       mm/dd/yyyy                       Bloodtype       …      male-female     …     …                      班機 Flight no. ..
   4      姓 - 名:family name - first name               通訊地址 Home / post address         國 - 籍:country - city   CCI號碼 CCI no.
          …                                            ...                              ...                    ...                        Select           Select accommodation type
                                                                                                                                                       Select   Select
年齡 Age    生日 birthday                        血 型                  性 別 Sex               護照號碼 Passportnr        航空 Airline code ..
                             ../../….
  .       mm/dd/yyyy                       Bloodtype       …      male-female     …     …                      班機 Flight no. ..
   5      姓 - 名:family name - first name               通訊地址 Home / post address         國 - 籍:country - city   CCI號碼 CCI no.
          …                                            ...                              ...                    ...                        Select           Select accommodation type
                                                                                                                                                       Select   Select
年齡 Age    生日 birthday                        血 型                  性 別 Sex               護照號碼 Passportnr        航空 Airline code ..
                             ../../….
  .       mm/dd/yyyy                       Bloodtype       …      male-female     …     …                      班機 Flight no. ..
   6      姓 - 名:family name - first name               通訊地址 Home / post address         國 - 籍:country - city   CCI號碼 CCI no.
          …                                            ...                              ...                    ...                        Select           Select accommodation type
                                                                                                                                                       Select   Select
年齡 Age    生日 birthday                        血 型                  性 別 Sex               護照號碼 Passportnr        航空 Airline code ..
                             ../../….
  .       mm/dd/yyyy                       Bloodtype       …      male-female     …     …                      班機 Flight no. ..
   7      姓 - 名:family name - first name               通訊地址 Home / post address         國 - 籍:country - city   CCI號碼 CCI no.
          …                                            ...                              ...                    ...                        Select           Select accommodation type
                                                                                                                                                       Select   Select
年齡 Age    生日 birthday                        血 型                  性 別 Sex               護照號碼 Passportnr        航空 Airline code ..
                             ../../….
  .       mm/dd/yyyy                       Bloodtype       …      male-female     …     …                      班機 Flight no. ..
   8      姓 - 名:family name - first name               通訊地址 Home / post address         國 - 籍:country - city   CCI號碼 CCI no.
          …                                            ...                              ...                    ...                        Select           Select accommodation type
                                                                                                                                                       Select   Select
          2009年 59屆 大會 國際 青年 臺灣                                                             報名表 - Application form                                  59th FICC International Youthrally 2009 Taiwan




 年齡 Age     生日 birthday                            血 型                    性 別 Sex                      護照號碼 Passportnr        航空 Airline code ..
                                   ../../….
   .        mm/dd/yyyy                           Bloodtype       …        male-female        …         …                      班機 Flight no. ..
                                                                                                                         0€         €300 sub. pre-rally         0
                                                                                        5% rally fee          0€         0€                                    €250 rally      0
 在多少个房间之下键入你喜欢预留                                                                                                         0€                                        €300 sub. post-rally       0
Please type below how many rooms you like to reserve !
roomreservation €75(2p./room) x      0         0€            Sub. Rooms                                   Subtotal       0€                                                                Sub. tent   0
                 €55 (3p./room)x          0    0€                0€                                         rooms        0€              discount price extra charge price                Sub. room    0
                 €65(4p./room) x          0    0€                                                Total to be paid        0€      OR            0€              0€



Formosa Camping And Caravanning Club

Office:    4F,N° 30, Lan Chou Street Taipei 10358-Taiwan(Roc)
TEL:            886225532009
FAX:            886225530900
E-mail:     fccc@fccc.org.tw                w1119orange@yahoo.com.tw
Account Name:Taiwan Cooperative Bank ( Swifft Code : TACBTWTP)
Bank account number/Cooperative Bank of Taiwan Chang An branch: 0888717116152
Website: http://www.fccc.org.tw
Contact person: Miss Shen


PS.          1.Participation youth rally includes tent (+ sleeping bag & mattress), insurance fee, meals a day during rallyperiode, excursions & activity fees during the youthrally.
             2. Limited quantity of rooms available, and rooms are admitted according to payment order.
             3.Application forms submitted before 2009/4/20 will enjoy a 5% discount on the participation fee.
              Application forms submitted after 2009/4/20 shall pay the full amount.

				
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