Laser Belgian Master Event 2011
&
4.7  Youth Event 
ENTRY FORM
All areas noted   *  must be filled  !

 Laser Standard
Laser Radial
Laser 4.7

Entry fee * :
- Entry Fee : 75 €
- Payment of Entry Fee can be made on site, provided the competitor has entered and
  sent the complete Entry Form to be received by the entry closing date.
- International competitors who enter on site without having forwarded completely
  the entry form by the entry closing date will be charged the late Entry Fee.
I will pay today the full entry fee on account  "Laser Master"
      n° 310-198 31 76-97 or IBAN Nr BE 543 101 983 176 97 
      ING Swift adress : BB RU BE BB
I will pay the entry fee on arrival