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REGISTRATION	
  

Springtime	
  -­	
  Ball	
  
Friday,	
  April	
  4th	
  ,	
  2014,	
  7.30	
  pm	
  
Weiherschloss	
  –	
  Bottmingen	
  
Schlossgasse	
  9,	
  Bottmingen	
  
	
  

Name	
  &	
  Surname:___________________	
  ______________________	
  
(please	
  wright	
  in	
  capital	
  letters)	
  
Address	
  	
  	
  	
  _________________________________________________	
  	
  
	
  
EMail	
  or	
  Phone	
  _____________________________________________	
  
NO,	
  I	
  cannot	
  come	
  ______	
   	
   	
  	
  	
  YES,	
  I	
  am	
  coming____	
  	
  	
   	
   	
  
Accompanied	
  by	
  N	
  persons_______________________	
   	
   	
  
Please	
  reserve	
  the	
  table	
  for	
  me	
  (N	
  persons)_________	
  	
  	
   	
   	
  	
  	
  
Please	
  send	
  the	
  registration	
  not	
  later	
  than	
  March	
  1,	
  2014	
  via	
  Email	
  to	
  Delini-­‐
Stula@gmx.ch	
  	
  or	
  via	
  SMS	
  078	
  683	
  69	
  98	
  or	
  conventional	
  mail	
  (B	
  post)	
  to	
  
Alexandra	
  Delini-­‐Stula,	
  	
  Mittlerestrasse	
  2,	
  4056	
  Basel.	
  Payments	
  of	
  95	
  
CHF/Person:	
  to	
  the	
  account	
  No	
  CH41	
  0483	
  5140	
  9106	
  6100	
  0,	
  Credit	
  Suisse	
  ,	
  
CH	
  8070	
  Zürich,	
  DeliniA,	
  4056	
  Basel.	
  	
  
Note:	
  the	
  availability	
  of	
  places	
  is	
  limited!	
  
	
  
	
  
	
  

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Bulletin soirée dansante 4/4/2014

  • 1. REGISTRATION   Springtime  -­  Ball   Friday,  April  4th  ,  2014,  7.30  pm   Weiherschloss  –  Bottmingen   Schlossgasse  9,  Bottmingen     Name  &  Surname:___________________  ______________________   (please  wright  in  capital  letters)   Address        _________________________________________________       EMail  or  Phone  _____________________________________________   NO,  I  cannot  come  ______          YES,  I  am  coming____           Accompanied  by  N  persons_______________________       Please  reserve  the  table  for  me  (N  persons)_________               Please  send  the  registration  not  later  than  March  1,  2014  via  Email  to  Delini-­‐ Stula@gmx.ch    or  via  SMS  078  683  69  98  or  conventional  mail  (B  post)  to   Alexandra  Delini-­‐Stula,    Mittlerestrasse  2,  4056  Basel.  Payments  of  95   CHF/Person:  to  the  account  No  CH41  0483  5140  9106  6100  0,  Credit  Suisse  ,   CH  8070  Zürich,  DeliniA,  4056  Basel.     Note:  the  availability  of  places  is  limited!