Subscription Form

Step 1

Club/Team Name:

Responsible last name :

Responsible first name :

Address :

Postal Code :

City :

Country :

Tel (+ Intl code) :

Fax (+ Intl code) :

E-mail :

Your e-mail address will be used as your login name.

Hotel :

Hotels not in the list are fully booked.

Number of Swimmers :

Number of Coaches :

Day	Number of Rooms	Number of Meals at the aquatic center (10,5€ per person)
Thursday, January 26, 2012		Upon request. Contact OC.
Friday, January 27, 2012		Lunch	Dinner
Saturday, January 28, 2012		Lunch	Dinner
Sunday, January 29, 2012		Lunch	Upon request. Contact OC

Other information (Message to OC, flight/train number, special meal etc.):