Mountain Bike Orienteering

Open Competition

ENTRY FORM B (final entry)

Must be submitted by June 20th, 2011 to WOC MTBO 2011 office

by e-mail:

Country:
Team details: / WOMEN / MEN / TOTAL
Number of participants:

Accommodation and Board:

We wish to book the following standard categories:

TOTAL PERSONS / PRICE
7 nights / PERSON
(BB) / TOTAL PERSONS / HALF BOARD
7days/PERSON
from 20.08 to 28.08 / TOTAL PRICE
(accommodation+board)
CATEGORY A2 / x / EUR 43,00 per day / x / EUR 58,00 per day (room+meal) / EUR
CATEGORY B / x / EUR 80,00
apartment per day / x / EUR 15,00 per day (only meal) / EUR
CATEGORY C / x / EUR 10,00 per day / x / EUR 15,00 per day (only meal) / EUR
EUR

Accommodation fee for competitors and team officials:

A-2 per person in Hotel Double Room BB (Bed and Breakfast) : Euro 43,00 per person

B -Apartments (3 Beds) with kitchenette in Hotel Castelli - Euro 80,00 per apartment per day.. (only 10 apartments available)

C -Beds in Gym or similar - Euro 10.00 per day per person (Near Hotel Castelli)

BB (Bed and Breakfast) - Half Board (Lunch or Dinner)

The account number for payment :

Beneficiary: COL WMTB-O 2011

Beneficiary’s Bank: BANCA DI CREDITO COOPERATIVO DELL'ALTA PADOVANA

Beneficiary’s Account No. (IBAN): IT 90 C 08429 12100 000000AC7810

Bank Identification Code (SWIFT): PDCCIT2P

Entry fee

TOTAL PERSONS / PRICE/ PERSON
Birth’s year ≥1991 / TOTAL PERSONS / PRICE/ PERSON
Birth’s year <1991 / Total
Price
All (3 starts) / X / 50 EUR / X / 60 EUR
Middle distance / X / 20 EUR / X / 25 EUR
Long distance / X / 20 EUR / X / 25 EUR
Middle distance / X / 20 EUR / X / 25 EUR
Banquet / X / 30 EUR / X / 35 EUR

Transport

TOTAL PERSONS / PERSON /
BIKE / TOTAL PRICE
From Venice airport / Montecchio Maggiore Event Centre / x / 50 EUR
From Montecchio Maggiore Event Centre / Venice airport / x / 50 EUR
Transport from event center to all competitions / x / 30 EUR

* people that want use our transport, they have to announce time, date and place (connected with arrival/departure )

Team manager:

Name: / Phone:
Address:
Fax: / E-mail:
Date: / Signature: