CHAMPIONSHIP 2012 - Entry nominative form
| Transport and Hotel | Entry form |
Confédération Méditerranéenne d’EscrimeLUCCA – 399, Via Tagliate (Borgo Residence)
– 55100 LUCCA (ITA) Tél/Fax ++39 0583 343441 Email: lioniero.delmaschio@gmail.com
ENTRY FORM
To send to the ORGANISATION COMMITTEE c/o CROATE FENCING FEDERATION
Adress crofencing@hi.t-com.hr
before 15th January 2012
FEDERATION
__________________________________________________________________________
WEAPON SURNAME NAME N.R LICENCE F.I.E.
CADETS
MEN FOIL 1._________________________ __________________ ____________
2._________________________ __________________ ____________
WOMEN FOIL 1._________________________ __________________ ____________
2._________________________ __________________ ____________
MEN EPEE 1._________________________ __________________ ____________
2._________________________ __________________ ____________
WOMEN EPEE 1._________________________ __________________ ____________
2._________________________ __________________ ____________
WOMEN SABRE 1._________________________ __________________ ____________
2._________________________ __________________ ____________
IUNIORS
MEN FOIL 1._________________________ __________________ ____________
2._________________________ __________________ ____________
WOMEN FOIL 1._________________________ __________________ ____________
2._________________________ __________________ ____________
MEN EPEE 1._________________________ __________________ ____________
2._________________________ __________________ ____________
WOMEN EPEE 1._________________________ __________________ ____________
2._________________________ __________________ ____________
WOMEN SABRE 1._________________________ __________________ ____________
2._________________________ __________________ ____________
DATE SIGNATURE AND STAMP
………………………… ……………………………………………….
Via Tagliate 399 (Borgo Residence) 55100 Lucca (ITA) - Tel/Fax: + 39 05 83 34 15 49 Email:lioniero.delmaschio@gmail.com