2 013 IPC Alpine Skiing
WORLD CHAMPIONSHIPS
La Molina
17 February - 28 February 2013
NPC .................................
Name of Representative ...............................………………………………………..
Address ........................................................................................
Telephone .....................................
Fax .....................................
E-mail .....................................
Number of Participants ………………………………..
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Male Athletes (A) |
Female Athletes (B) |
Staff (C) |
Total team members (A+B+C=D) |
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Number of People |
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Accommodation fee 85€ x #nights x total members (D)
Accommodation fee 95€ x #nights x total members (D) ( single room )
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Total __________ EUR€
Total __________ EUR€
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Transport Fee (* IF REQUIRED) at 40 or 60 EURO person |
Total __________ EUR€ |
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Extra fee 85€ X |
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Total __________ EUR€ |
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Number of person |
X |
Extra days |
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Total amount (Total entry fee + Extra fee) |
Total amount __________ EUR€ |
85€ person x 11 nights estimation = 935€ (from 17 February to 28 February 2013)
Single room 95€/day
Extra stay requires 85 Euro per person per night (Lift Tickets NOT included)
The total Entry Fee must be paid to the following bank account, no later than 03 January 2013. Please read carefully the Cancellation Policy in the Official Invitation
Account Name |
FGC LA MOLINA |
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Please remember to pay your bank charges/commissions |
Account number |
2100 1364 05 0200028921 |
IBAN Number |
IBAN ES62 2100 1364 0502 0002 8921 |
Swift Code |
CAIXESBBXXX |
Bank name Bank Branch |
“LA CAIXA” |
|
C/ Nord, 20 - 17538 - ALP |
Name and position of NPC Representative........................................................
Date .......................................
Signature ......................................
Country .................................
Name of NPC ...............................………………………………………..
Telephone .....................................
Fax .....................................
E-mail .....................................
YES
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NO
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REQUIRED TRANSPORT SERVICE |
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Arrival |
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Date dd/mm/yy |
Time hh:mm am/pm |
Flight No. |
Airport |
Number of People |
No. of Wheelchair users |
No. of Baggage & Wheelchairs |
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BCN |
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B : W : |
Departure |
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Date dd/mm/yy |
Time hh:mm am/pm |
Flight No. |
Airport |
Number of People |
No. of Wheelchair users |
No. of Baggage & Wheelchairs |
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BCN |
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B : W : |
YES
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NO
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DEPARTURE AFTER 01 MARCH 2013 |
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* Special Needs : |
This FORM must be completed and returned by email ________________________________________ no later than 15 November 2012 .
Name and position of NPC Representative........................................................
Date .......................................
Signature ......................................
Room Number (double rooms) |
NAME |
Wheelchair User (Y,N) |
1 |
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1 |
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2 |
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2 |
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3 |
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3 |
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4 |
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4 |
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5 |
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5 |
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6 |
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6 |
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7 |
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7 |
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Room Number (triple rooms) |
NAME |
Wheelchair User (Y,N) |
1 |
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1 |
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1 |
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2 |
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2 |
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2 |
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3 |
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3 |
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3 |
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Room Number (quadruple rooms) |
NAME |
Wheelchair User (Y,N) |
1 |
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1 |
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1 |
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1 |
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2 |
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2 |
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2 |
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2 |
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2 |
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2 |
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3 |
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3 |
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3 |
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3 |
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Room Number (single rooms) |
NAME |
Wheelchair User (Y,N) |
1 |
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2 |
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3 |
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ALPINE A LA VANGUARDIA DE LA INNOVACIÓN DEL GRUPO
ALPINE GRAZING SURVEY EXECUTIVE SUMMARY 5 1SITE B
CHECK & CONNECT PROGRAM ALPINE SUMMIT PROGRAMS 1581
Tags: alpine skiing, world, molina, skiing, alpine, championships