Entry form

Within 30 st of November 2007

Please fill inn all the fields in the form below.
When you submit the form, you will get a page listing all the information you have registered,
and how to pay your entry fees and your accommodation.

Entry valid only by payment!

Full Name:
Country:
Association:
Street Address:
Postal Code, Post Office
E-mail address:
Telephone:
Telefax:
   
Disciplin:

Category:

/Coach

   
Rica Hell Hotell
Price is P.P. pr. day







Arrival/depature date Arrival date : Departure date : Number of nights :
If you are shareing a double or a room with three beds , please state the name(s) of your room companion (s)