Entry and Payment Deadline – 7 June 2004

150 EURO/competitor

                                                                 Send to: entryform@sater-triathlon.com

 

NATIONAL FEDERATION

                                                                                                                                                              

NAME OF FEDERATION CONTACT

     

FEDERATION ADDRESS

     

FEDERATION TELEPHONE

     

FEDERATION FAX

     

FEDERATION E-MAIL

     

FEDERATION WEB ADDRESS

     

Accommodation in Säter

     

Contact Telephone in Säter

     

Contact Fax in Säter

     

 

Categories checklist:

Please fill in the number of athletes in categories where you are entering athletes.          

Elite

Number of competitors

 

 

 

Male

Female

 

 

 

 

     

     

 

 

 

Age Groups

Male

Female

 

Male

Female

20-24

     

     

50-54

 

     

25-29

     

     

55-59

     

     

30-34

     

     

60-64

     

     

35-39

     

     

65-69

     

     

40-44

     

     

70-74

     

     

45-49

     

     

75+

     

     

Disabled