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Flevum zeilregatta
                       in samenwerking met Kneppelhout & Korthals
                                  Vrijdag 31 augustus 2012 - www.flevumzeilregatta.nl - 3e editie




                                  Flevum zeilregatta - St. annaland 2012
inschrijfformulier:

0	Ja, ik ben geïnteresseerd om op 31 augustus 2012 met eigen boot mee te varen. (€ 75,- p.p. ex BTW)
0	Ja, ik ben geïnteresseerd om op 31 augustus 2012 een boot te huren (€ 325,- ex BTW)
0	Ja, ik ben schipper / bemanning / opstapper (€ 75,- p.p. ex BTW)
0	Nee, ik ben helaas verhinderd

Bedrijfsnaam	:	 _________________                                       boot eigenaren

Naam		                 :	          _________________                    Scheepsnaam	:	                      _________________


Telefoonnummer	:	                  _________________                    Lengte boot	            :	          _________________


Plaats		               :	          _________________                    Breedte boot	           :	          _________________


E-mail		               :	          _________________                    Hoogte boot	            :	          _________________


Factuurgegevens	:	 ____________________________                         Type boot		             :	          _________________
		
			                                                                     Zeiloppervlak	          :            _________________
			____________________________
Deelname is gegarandeerd na ontvangst van uw betaling.                  Flevum is niet aansprakelijk voor schade aan materiaal en personen die deelnemen.



Contact                                                                 Frank Schouten l 06-54386717 l fschouten@flevum.nl
Wilt u participeren? Verstuur dit inschrijfformulier naar:              Meester Overtoompad 2
                                                                        2632 CB Nootdorp

partners Zeilregatta st. annaland 2012                              i               Sponsoren Zeilregatta st. annaland 2012

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Flevum Zeilregetta l Inschrijfformulier

  • 1. Flevum zeilregatta in samenwerking met Kneppelhout & Korthals Vrijdag 31 augustus 2012 - www.flevumzeilregatta.nl - 3e editie Flevum zeilregatta - St. annaland 2012 inschrijfformulier: 0 Ja, ik ben geïnteresseerd om op 31 augustus 2012 met eigen boot mee te varen. (€ 75,- p.p. ex BTW) 0 Ja, ik ben geïnteresseerd om op 31 augustus 2012 een boot te huren (€ 325,- ex BTW) 0 Ja, ik ben schipper / bemanning / opstapper (€ 75,- p.p. ex BTW) 0 Nee, ik ben helaas verhinderd Bedrijfsnaam : _________________ boot eigenaren Naam : _________________ Scheepsnaam : _________________ Telefoonnummer : _________________ Lengte boot : _________________ Plaats : _________________ Breedte boot : _________________ E-mail : _________________ Hoogte boot : _________________ Factuurgegevens : ____________________________ Type boot : _________________ Zeiloppervlak : _________________ ____________________________ Deelname is gegarandeerd na ontvangst van uw betaling. Flevum is niet aansprakelijk voor schade aan materiaal en personen die deelnemen. Contact Frank Schouten l 06-54386717 l fschouten@flevum.nl Wilt u participeren? Verstuur dit inschrijfformulier naar: Meester Overtoompad 2 2632 CB Nootdorp partners Zeilregatta st. annaland 2012 i Sponsoren Zeilregatta st. annaland 2012