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Application form

In order to register, please, use following form or visit our salesroom Spin&fly s.r.o., Legerova 58, Praha 2. Because the competition is between pairs, kindly specify the second person you want to be with on the boat!!!

First Prague fly-fishing competition ORVIS CUP 2010

1 – 3 October 2010 Vltava river

Application form

Name:
Surname:
Date of birth: ... Data format 31.12.1999

Address:

Street:
City:
ZIP code:
Country:

Your contacts:

Phone:
Email:

I will be on the boat with following person:

I have no partner on the boat (tick this field):

Method of payment
I will pay the registration fee of 1.500,- CZK as follows (tick correct option):

cash in the shop Spin&Fly, Legerova 53, Praha 2...

bank transfer

cash 1.10.

#Přihlašuji se tímto závazně do závodu 5. ROČNÍK - PRAŽSKÝ MUŠKAŘSKÝ ZÁVOD Orviscup 2010, který se bude konat v Praze v termínu 1. - 3.října 2010. Přečetl/a jsem si pravidla závodu a souhlasím s nimi bez výhrad. Beru na vědomí sankce za jejich porušení. Link to competition rules
This application form is valid only after the registration fee is paid completely. During the registration it is important to prove by pay slip that the registration fee has been paid.

Banking relations

Account number: 175069552/0300

Constant symbol: 0558

Variable symbol: personal identification number without slash

Message for recipient : full name of competitor

SWIFT nebo BIC kód: CEKOCZPP

IBAN: 44 0300 0000 0001 7506 9556

Bank

ČSOB
Bělehradská 110/478
Praha 2
12000

Address of salesroom

Payments will be possible from Monday to Friday from 9am to 11.30am 0.30pm to 6.00pm

SPIN&FLY

Legerova 58

Praha 2

120 00

Phone 00420 2 22515351