Registration Form / Fiche d’ Inscription / Anmeldeformular
29th FIPS-Mouche World Fly Fishing Championships 5th – 12th June 2009
Drymen, Scotland

TEAM MEMBERS FORM

back* required field         

Contact Name: * Postal Address / Adresse / Anschrift: *
Country / Pays / Nation: * Address 2. *
Federation / Verband: * Address 3. *
Email: * Address 4.
Telephone: * Address 5.
Mobile:    
   
Prices are: Team members: £880.00 GBP and Invited Guests: £730.00 inclusive To download details of prices please click here - download prices
There are no accompanying persons or media travelling with our team: only tick this if no accompanying persons are travelling with you
FOR PAYMENT DETAILS PLEASE GO TO NEWS SECTION - Payment Details  
   
Competitors Mr First Name Surname Hotel Room Sharing With    
Competitor #s Mrs Prenom Nom D = Double C# = Competitor    
Comp Miss Vorname Familienname T = Twin G# = Guest Arrival Date Departure Date
C1 D - T -
C2 D - T -
C3 D - T -
C4 D - T -
C5 D - T -
C6 D - T -
C7 Captain D - T -
C8 Manager D - T -

Food allergies, Special requests etc. Please give name of person & details of request:

Name of Authorised person: *       Date: Sep 6th 2010        

  I CONFIRM I HAVE READ THE FIPS MOUCHE RULES: *   YES -   NO -