International Powerlifting Federation - DOC 2 by 0XJKdI

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									                                                                 Nomination Form

                  Preliminary: 2nd                          Final: 10th September 2012                            Last day to cancel the
                  August 2012                                                                                     booked hotel rooms and the
                                                                                                                  ordered banquet tickets:
                                                                                                                  24th September 2012

                     The International Powerlifting Federation and the USA Powerlifting Federation invite for the
                    IPF Masters 21st Women & 30th Men World Powerlifting Championships 2012 in Killeen, USA
                                                from 02nd August to 07th October 2012
                                                  The final nomination form must be sent to:
Accommodation, transport :
Meet Director                  JOHNNY A. GRAHAM 2203 EXCEL DRIVE KILLEEN, TX 76542 USA
                               E-mail: grahamj7@aol.com, Phone: +1-254-338-5597/254-526-0779
Correspondence, Visa:          Please send information to grahamj7@aol.com, or fax to 254-616-5725
                               Additional Sheet provided for Visa Information
Accommodation transport airport-hotel: grahamj7@aol.com, 254-338-5597/Fax 254-616-5725
Please see more detailed information provided below in document

Copy:               Gaston Parage, 1, rue Pasteur, L-4642 Differdange, Luxembourg,
                    Mobilephone: +352-621165214, Fax: +352-582696, E-mail: Gaston.parage@powerlifting-ipf.com

Submitted by                                                              National Powerlifting Federation/Association
 Submitting officer:                                    Title:                                       Date:
 Teammanager :                                                            Coach:
Referee 1:                                 Cat:         Available for categories:
Referee 2:                                 Cat:         Available for categories:
Referee 3:                                 Cat:         Available for categories:
Referee 4:                                 Cat:     1   Available for categories:   Only for Jury in case of insufficient # of Cat. 1 referees
                                                                                    rees.
NEW IMPORTANT POINT!!!

                                                                                                                  th
Number of banquet tickets ordered (last day to cancel the ordered banquet tickets is 24 September):
       Each referee must state for which categories he/she will be free from other duties (coach, lifter) in column “Available for
    categories”. He/she must referee in the stated categories if he/she is nominated by Technical committee for these categories. If
             available categories are not stated, he/she is obliged to referee in categories decided by the Technical official.

 It is an obligation of every Federation to confirm the participation of all their Referees nominated in the Final nomination or cancel
                                       the referees who will not participate in the Championship!!!


Total number of lifters:             Total amount of team :              Arrival date:                                    Flight/train/car

Arrival time:                          Airport/station:                                          Flight nr:

Departure date:                        Departure Time:                                           Flight nr:
We need rooms:              Single – from – to:                                             Double – from – to:

         State each lifter’s personal best achieved at national or international championships during the previous 12 months.
                       Enter the lifter’s family name and first name separately into an appropriate column below.
                                     Please, use each lifter’s full first name, not his or her nickname!
 Class Men M1           Family Name    First Name    Birthday   SQ   BP   DL   TOTAL




Reserve lifters, max. 5 per team




Class Men M2            Family Name    First Name    Birthday   SQ   BP   DL   TOTAL




Reserve lifters, max. 5 per team




Class Men M3            Family Name    First Name    Birthday   SQ   BP   DL   TOTAL




Reserve lifters, max. 5 per team




Class Men M4             Family Name    First Name   Birthday   SQ   BP   DL   TOTAL




Reserve lifters, max. 5 per team
 Class Women M1            Family Name              First Name   Birthday    SQ         BP   DL   TOTAL




Reserve lifters, max. 5 per team




Class Women M2             Family Name              First Name   Birthday    SQ         BP   DL   TOTAL




Reserve lifters, max. 5 per team




Class Women M3             Family Name              First Name   Birthday    SQ         BP   DL   TOTAL




Reserve lifters, max. 5 per team




Address for contact:

 Name:                                   Street:                             Zipcode:
 City:                                   Country:                   Phone:
Fax:                                     E-mail:
                               USA Powerlifting Federation
                  JOHNNY A. GRAHAM 2203 EXCEL DRIVE KILLEEN, TX 76542 USA
                  E-mail: grahamj7@aol.com, Phone: +1-254-338-5597/254-526-0779

Visa Support Form

  Full names of athletes     Birth Day      Passport Number      Expiration Date




  Full names of coaches      Birth Day      Passport Number      Expiration Date

								
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