Registration form institution Name: Long: Short: Oficcial Mail & e-mail Addresses: Country icon

Registration form institution Name: Long: Short: Oficcial Mail & e-mail Addresses: Country




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НазваRegistration form institution Name: Long: Short: Oficcial Mail & e-mail Addresses: Country
Дата18.07.2013
Розмір10.34 Kb.
ТипRegistration form




TEAM REGISTRATION FORM



Institution Name:
Long:

Short:
Oficcial Mail & E-mail Addresses:

Country:

SHORT TEAM’S NAME:______________________________________________________________________________




Coach (Faculty Advisor)
First Name:__________________ Middle Name: __ _______________________ Last Name:
Position:
Office address:

EMail:
Phone: Office:_____ _______________________________ Home: ____________________________________________

FAX: ____ _____________________________________________________________________________

T-Shirt Size L



Member 1
First Name:_______________ ______ Middle Name: ___ ___________ _______ Last Name: ______
Home address ____________________________________

EMail: ________________
Home phone: _____________
T-Shirt Size _________L____________



Member 2

First Name:_______________ ______ Middle Name: ___ ___________ _______ Last Name: ______
Home address ____________________________________

EMail: ________________
Home phone: _____________
T-Shirt Size _________L____________




Member 3
First Name:_______________ ______ Middle Name: ___ ___________ _______ Last Name: ______
Home address ____________________________________

EMail: ________________
Home phone: _____________
T-Shirt Size _________L____________







In unforeseen situations, you may replace members of your team when attending the Contest, provided that they satisfy the eligibility requirements specified in the Contest Rules.

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Приймак Олександр Вікторович, Луцький національний технічний університет – кафедра автомобілів, завідувач кафедри
Registration form institution Name: Long: Short: Oficcial Mail & e-mail Addresses: Country iconRegistration form

Registration form institution Name: Long: Short: Oficcial Mail & e-mail Addresses: Country iconRegistration form

Registration form institution Name: Long: Short: Oficcial Mail & e-mail Addresses: Country iconRegistration form

Registration form institution Name: Long: Short: Oficcial Mail & e-mail Addresses: Country iconRegistration form

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