ENTRYFORM

Please enter before the 15th of June 2011 - No more than 200 teams allowed!

Volleyball club (name of the team):
Person in charge  
Name:
Street + Nr.:
Postal code + City:
Country:
Telephone:
G.S.M.:
Fax:
E-mail:
Date of entry:
Men Women Mixed (Always at least 2 women in the team)
  Series Number of teams   Series Number of teams   Series Number of teams
National  1 = (National +  Prov.A)  Mixed competition
Prov. A
Prov. B 2 = (Prov.B +

Recreation)

 Mixed recreation

Recreation competition
Recreation

No competition teams allowed in recreational series. 

The entry-fee amounts to € 65 per team (International Post Order n° 961-1745660-43  V.C.Spectrum Moerbeke-Waas v.z.w., IBAN Nr: BE 66 96 11 74 56 60 43, BIC Code: HBKABE22) The entry-fee must be settled before the 20th of June 2011.

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