APPLICATION FORM 2012
Bringing own food/drinks is NOT allowed on the tournament-site!
Seized goods will be stored at the Information Desk
(*=Denotes obligatory field)
A levy of 250 euro applies to each team participating. The tournament levy should be paid before 15-01-2012 directly into the bank account provided below. The participation will only be finalised once the levy has been paid.
Payable to
| Name: | Dendermondse Rugbyclub |
| Address: | Koning Albertstraat 140 9200 Dendermonde (Belgium) |
| Bank name: | PNB PARIBAS FORTIS |
| Bank Address: | Fr. Van Schoortstraat 2 9200 Dendermonde (Belgium) |
| Bank Account: | 001-1177579-75 |
| Swift Code - BIC Code | GEBABEBB |
| IBAN-nummer: | BE05 0011 1775 7975 |
INSURANCE: ALL TEAMS MUST ARRANGE THEIR OWN INSURANCE POLICIES!
Please bring the necessary documents with you to Dendermonde.
In case of treatment at the local hospital a copy of the identity card is required.








