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
ENTRY FORM “A”Please complete using CAPITAL LETTERS and return before 8th August 2014
COUNTRY:NUMBER OF COMPETITORS:
CATEGORIEMODERN BIATHLE
MODERN BIATHLE
MODERN TRIATHLE
MODERN TRIATHLE B + T B + T MIXED RELAY
Per teamMALE FEMALE MALE FEMALE MALE FEMALE
Youth FYouth EYouth DYouth CYouth BYouth AJuniorsSeniorsMasters AMasters BMasters CMasters D
NUMBER OF COACHES/OFFICIALS: _________________ NUMBER OF OTHERS EXTRA: ___________________________________
FEDERATION: ___________________________________ CONTACT PERSON NAME: _________________________________________
EMAIL: _________________________________________ TEL: ________________________________________
NAME: _________________________________________ SIGNATURE: _________________________ DATE: ______________
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
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