Application Form WRC 2010 DWD

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Application Form WRC 2010 DWD Powered By Docstoc
					Application Form WRC 2010 13-19 July 2010 - Dutch Water Dreams Zoetermeer, the Netherlands

General Information
Name of Federation
Contact (name, surname)

Telephone                                                                                                                          Mobile phone
Telefax                                                                                                                            E-mail address
Contact authorized to sign

Team/ athletes                                                                                    Name              Surname                                                    Passport/ID number
Teammember # 1
Teammember # 2
Teammember # 3
Teammember # 4
Teammember # 5
Team coach
Team trainer
Total number of team members

Transportation Schiphol Amsterdam airport - Dutch Water Dreams v.v.                                           YES             NO
                                                                                                                                                                               Date of arrival   Date of departure
DWD Transport per team*/** one way                                                                                                 transport from Airport to DWD   ….persons
                                                                                                                                   transport from DWD to Airport   ….persons

* Please advise flight number and time of arrival when transport is requested from airport Schiphol to DWD.

** € 100,00 for an 8-person bus or € 75,00 for a 3 person taxi.

Other preferences regarding transport

Additional hotel reservations for NH hotels Zoetermeer* and catering facilities

How many nights?
Date of arrival
Date of departure
Number of rooms

* Organisation will have room(s) available for teams from 13-19 July 2010 included in fee WRC 2010. Additional nights before or after period mentioned, can be described above.
DWD will than confirm booking after consulting the hotel reservations department. Room rates are upon availability.

Other preferences for food and beverage (special diet/ vegetarian)

Room rates NH hotels additional night(s)
Hotel NH hoteles Zoetermeer €59,00 per room per day. Breakfast, citytax included for 2 persons.
Extra person €23,00 per night. Breakfast, citytax included for extra person.

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