SIGN-IN FORM TRAINING GOES 2012

Stichting Motorsport Zeeland
secretariaat bereikbaar via:
+31 (0)6 25198192
info@smz.nl

Training:

KNMV or international FIM licence required
Max. of 12 riders per group

Date:

Saterday 07-01-2012 till
Thursday 12-01-2012

Sessions:

Saturday till Tuesday
Session1 13.00 - 16.00 pm
Session2 18.00 - 21.00 pm

Saturday - Sunday
Session2 17.00 - 20.00 pm

Wednesday
Session1 14.00 - 17.00 pm
Session2 18.00 - 21.00 pm

Thursday
Session1 12.00 - 16.00 pm
Session2 18.00 - 21.00 pm

Cost per session € 75,-

Confirmation of chosen session(s) and the amount due will be sent by e-mail

Note: Payment insures participation

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Direct contact, questions about sign-in E info@smz.nl


Name
Address
Zip code
Place of residence
Country
Telephone
E-mail address *
Class
Federation
Licence number


Signs in for the following session(s)

	Session 1	Session 2


Saturday 07-01-2012	FULL	(starts 17.00 pm)

Sunday 08-01-2012		(starts 17.00 pm)

Monday 09-01-2012

Tuesday 10-01-2012		FULL

Wednesday 11-01-2012	FULL	FULL

Thursday 12-01-2012	(region-training)	INTER-TRAINING


* = required