APPLICATION FORM 2010
(*=Denotes obligatory field)
Confirms his participation to the 17th Flanders Open Rugby Tens of 2010, May 22th & 23th.
Bringing your own food/drinks is NOT ALLOWED on the tournament-site!
The registration fee 250 euro must be paid before 15-01-2010.
125 euro will be paid back in the form of consumptiontickets.
Payable to
| Name: | Dendermondse Rugbyclub |
| Address: | Koning Albertstraat 140 9200 Dendermonde (Belgium) |
| Bank name: | FORTIS Bank |
| Bank address: | Fr. Van Schoortstraat 2 9200 Dendermonde (Belgium) |
| Bank Account: | 001-1177579-75 |
| Swift Code: | CGAKBEBB 001-1177579-75 |
| BIC Code: | GEBABEBB |
| IBAN-nummer: | BE 05001117757975 |
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.
