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					                                                                         Registration Form "JURASSIC CUP 2012"

          Name of club/association:
  Contact person, telefon, email:


                                                                                                                                     Accommo-
                                                                           SI chip                   Competition                                                                 Meal
                                                                                                                                       dation
                                                                           number      Friday            Saturday         Sunday                   Friday             Saturday                     Sunday
          Surname             Name          Cathegory   Date of birth
                                                                                                                          classic    Fr-Sa Sa-Su
                                                                                       classic     classic
                                                                           R = rent                            sprint    3,5 MHz                   supper breakfast    lunch       supper   breakfast   lunch
                                                                                      3,5 MHz     144 MHz
                                                                                                                        (handicup)

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      Example:
                                                                                                                                     Accommo-
                                                                           SI chip                   Competition                                                                 Food
                                                                                                                                       dation
                                                                           number      Friday            Saturday         Sunday                   Friday             Saturday                     Sunday
          Surname             Name          Cathegory   Date of birth
                                                                                                                          classic    Fr-Sa Sa-Su
                                                                                       classic     classic
                                                                           R = rent                            sprint    3,5 MHz                   supper breakfast    lunch       supper   breakfast   lunch
                                                                                      3,5 MHz     144 MHz
                                                                                                                        (handicup)
 1. Lawecki             Szymon                M21       01.01.1978         501435        1           1              1       1         1     1        1        1          1              1      1            1
 2. Iksinska            Marianna               K35      01.01.1975            R                      1                      1               1                            1              1      1            1


      Registration form please send by e-mail to:                       radioorienteering@o2.pl

				
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