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									                                            10. International adidas Cup 2009
                                                    October 3, 2009 in Herzogenaurach / Germany
                                                                        Women, Men, Students, Youth

Registration
Club/Association:
Address:                                                     Street:
eMail - Address:                                             Internet-Address:
Phone:                           Fax:                        Nation:                                                                      Organisation:
Name - Coach(es):                                            Head of the Team:
1.                                                           1.
2.                                                           2.


Competitor
                                                             Women Men                                          Youth
Nr.         Name of        First name   Date of     Nation                             A                   B                   C                     D          Weight- Category   Kup /        Success, Orders
           competitor                    birth               Female    Male   Female       Male   Female       Male   Female       Male     Female       Male    class LK1/LK2     Dan
      MILLER            George          7/12/1994   Mexico                                                      x                                                - 57     LK1      2. Dan   1. Place German Open 2006, 1. Place Asian Games


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Registration
Club/Association:
Address:                                                       Street:
eMail - Address:                                               Internet-Address:
Phone:                        Fax:                             Nation:                                                                      Organisation:
Name - Coach(es):                                              Head of the Team:
1.                                                             1.
2.                                                             2.


Competitor
                                                               Women Men                                          Youth
Nr.           Name of       First name   Date of     Nation                              A                   B                   C                     D          Weight- Category   Kup /     Success, Orders
             competitor                   birth                 Female   Male   Female       Male   Female       Male   Female       Male     Female       Male    class LK1/LK2     Dan
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                                                                Date                                                                                                                  Signature and stamp


Registration address:
      Leitner Hans Jürgen                          eMail: info@adidascup.de                         Internet: www.adidascup.de
      Sandstraße 4 a                               Phone: +49 (0) 911 / 68 93 68 20                 Mobile: +49 (0) 175 / 43 22 20 2
      D - 91093 Hessdorf                           Fax: +49 (0) 9135 / 72 82 35

      Arndt Michael                                eMail: michael.arndt@dax-sports.de               Internet: www.dax-sports.de/adidas
                                                   Phone: +49 (0) 911 / 988 15 12                   Mobile: +49 (0) 151 / 115 023 63
                                                   Fax: +49 (0) 911 / 988 15 99

								
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