III. ERDEK TRIATHLON
JUNE 12th, 2005
ENTRY FORM
Please fill in the entry form and send it back to us via
fax or e-mail
Entry deadline is June 2nd, 2005!
Contact Person: Ms Suzan Livturis Tel: ++90 212 519 3114 ++90 212 520 5883 Fax: ++90 212 519 3115 E mail: suzan_niazi@lycos.com
Entry fee: 30 Euro
Categories: Junior Elite
National Federation:
Address:
Tel-Fax:
E mail:
Total number of athletes: Male: Female:
Date of arrival:
Date of departure*:
*Please consider your travel time from race venue to
airport after awards ceremony.
Mean of Transportation
(car-bus-plane):
Preferred Hotel: Agrigento Hotel**** Agripark Hotel***
** Please fill out the table with clear and legible
writing
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Name of NF Representative: Signature:
Date: NF
Stamp: