| A Entry nominative form | B Entry from |
| C Transport and Hotel |
Confédération Méditerranéenne d’Escrime
LUCCA – 399, Tagliate (Borgo Residence) – 55100 LUCCA(ITA)
Tél/Fax ++39 0583 341549 Email:lioniero.delmaschio@gmail.com
CHAMPIONSHIP 2010 – ENTRY FORM
To send to ORGANISATION COMMITTEE c/o SERBIAN FENCING FEDERATION
Adress macevanje@eunet.rs
before 15th January 2010
FEDERATION ____________________________________________________________
ADRESS _________________________________________________________________
TEL. ________________ FAX _________________ E-MAIL _______________________
undertakes to participate to the VII MEDITERRANEAN CHAMPIONSHIPS Cadets/Juniors in ZRENJANIN (SRB)
(30th/January/1 February 2010) with the following delegation :
NOMBRE
OFFICIALS ________
REFEREES ________
COACHS ________
EXECUTIFS ________
CADETS ● JUNIORS
FENCERS
FOIL MEN ________ ________
FOIL WOMEN ________ ________
EPEE MEN ________ ________
EPEE WOMEN ________ ________
SABRE MEN ________ ________
SABRE WOMEN ________ ________
DATE SIGNATURE AND STAMP
________________ _____________________
Via Tagliate 399 (Borgo Residence) 55100 Lucca (ITA) - Tel/Fax: + 39 05 83 34 34 41 E