Registration

Club (or fill in 'friendsteam):
Teamname:
E-mail:
Contact:
Telephone number:
We are: Mens Veterans (35+)
Ladies Veterans (30+)
Mixed Veterans
Number of team members:
We will be using: 1 or more hotel rooms
Not using of hotel rooms
Number of double rooms required:
Number of triple rooms required:
Extra information:

Filling out the form will be seen as pre-registration.  Definite registration will be upon receipt of payment.  Therefore don't wait too long!  Participation costs € 50 per person. This amount excludes the cost of the Tulip Inn hotel.  These are €85 or €100 per room per night.

The total amount is to be paid to account number 3359.01.751 in the name of MHC Leusden.(IBAN Nummer NL75 RABO 0335901751)  Please refer to your team name!