Union Internationale de Pentathlon Moderne 2014 UIPM MODERN BIATHLE / TRIATHLE WORLD CHAMPIONSHIPS Men and Women Pacific Naval Command, ESCUINTLA, GUATEMALA 7 th - 12 th October 2014 Asociacion de Pentatlon Moderno de Guatemala FINAL ENTRY FORM “B” Please complete using CAPITAL LETTERS and return before 5 th September 2014 Nation: NO CAT FIRST NAME LAST NAME UIPM NR GENDER (M / F) BIATHLE TRIATHLE BIRTH DAY T-SHIRT SIZES MARK WITH "X" dd / mm/ yy XS S M L XL 1 2 3 4 5 6 7 8 9 10 11 For official use only Please return to : GUATEMALAN MODERN PENTATHLON ASSOCIATION 3 Avenida, 16-15 ZONA 15, JARDINES DE MINERVA, GUATEMALA, TEL: +502- 2369-4489 e-mail: [email protected], website: www.pentatlonmodernoguatemala.com 1
Transcript
Union Internationale de Pentathlon Moderne
2014 UIPM MODERN BIATHLE / TRIATHLE WORLD CHAMPIONSHIPSMen and Women
Pacific Naval Command, ESCUINTLA, GUATEMALA7th - 12th October 2014
Asociacion de Pentatlon Moderno de Guatemala
FINAL ENTRY FORM “B”Please complete using CAPITAL LETTERS and return before 5th September 2014
Nation:
NO CAT FIRST NAME LAST NAME UIPM NR
GENDER (M / F)
BIATHLE TRIATHLE BIRTH DAY T-SHIRT SIZES
MARK WITH "X" dd / mm/ yy XS S M L XL
1
2
3
4
5
6
7
8
9
10
11
12 OFFICIALS
13 COACHS
For official use onlyPlease return to : GUATEMALAN MODERN PENTATHLON ASSOCIATION
3 Avenida, 16-15 ZONA 15, JARDINES DE MINERVA, GUATEMALA, TEL: +502- 2369-4489e-mail: [email protected], website: www.pentatlonmodernoguatemala.com
2014 UIPM MODERN BIATHLE / TRIATHLE WORLD CHAMPIONSHIPSMen and Women
Pacific Naval Command, ESCUINTLA, GUATEMALA7th - 12th October 2014
Asociacion de Pentatlon Moderno de Guatemala
FINAL ENTRY FORM “B” (CONTINUE)ONLY FOR THOSE WITH PACKAGES CHOSEN
NUMBER OF PERSONS
ARRIVAL DATE FROM TIME FLIGHT. NO. DEPARTURE
DATE TIME FLIGHT NO.
NUMBER OF FINAL ADDITIONAL GALA DINNER COUPONS: ___________ACCOMODATION:
THE DELEGATION WILL STAY IN THE OFFICIAL HOTEL YES NO
SINGLE ROOMS: _____________ FROM: _____________ TO: _____________DOUBLE ROOMS: _____________ FROM: _____________ TO: _____________TRIPLE ROOMS: _____________ FROM: _____________ TO: _____________
