|
Přihláška na 4 dny Bečov nad Teplou
|
|
|
|
|
|
|
|
|
|
|
|
|
Oddíl: |
|
|
Zkratka: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Č.
|
Jméno |
Registr. číslo
|
Kategorie
|
Startovné
|
Ubytování
|
1
|
|
|
|
|
|
2
|
|
|
|
|
|
3
|
|
|
|
|
|
4
|
|
|
|
|
|
5
|
|
|
|
|
|
6
|
|
|
|
|
|
7
|
|
|
|
|
|
8
|
|
|
|
|
|
9
|
|
|
|
|
|
10
|
|
|
|
|
|
11
|
|
|
|
|
|
12
|
|
|
|
|
|
13
|
|
|
|
|
|
14
|
|
|
|
|
|
15
|
|
|
|
|
|
16
|
|
|
|
|
|
17
|
|
|
|
|
|
18
|
|
|
|
|
|
19
|
|
|
|
|
|
20
|
|
|
|
|
|
Celkem
Kč: |
xxx
|
xxx
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Kontaktní
osoba:.......................................................... |
|
Telefon
zam. ........................ |
Adresa:....................................................................... |
|
Telefon
domu ....................... |
E-mail:…………………………………………………… |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
............................ |
|
............................................... |
|
Datum |
|
Razítko,
podpis |
|