/ 9th European Nations
Championships 2010
Amsterdam, Netherlands
13-15 august 2010
Paddlers for Paddlers /
Numerative Entry Form

The return date for numerative entries and payment of the deposit fee is May 1st 2010

TEAM
EDBF Member Association

Entries. Please confirm bij marking with „X” the preliminary entry of you’re crew. If Mixed crew is

formated from Open & Woman crews mark „C” (combined).

Class / Premier / Senior / Grand Dragons / BCS
Open / Women / Mixed / Open / Women / Mixed / Open / Women / Mixed
2000m
200m
500m
Class / Under-23 / Juniors A (U-18) / Juniors B (U-16) / Juniors C (U-14)
Open / Women / Mixed / Open / Women / Mixed / Open / Women / Mixed / Open / Women / Mixed
2000m
200m
500m

(1) Seniors – 40 or over as of 1 June 2010; Grand Dragons: 50 or over as of 1 June 2010.

(2) Juniors: under 18 but 12 or over as of January 1, 2010. Under 16: under 16 but 12 or over as of January 1, 2010. Under 14 but 12 or over as of January 1, 2010.

(3) Under 23s: under 23 but 18 or over as of January 1, 2010

Price: / Number: / Total: / Deadline:
Numbers of crews / 500,- Euro (deposit per crew) / 01-05-2010

For mixed crews consisting fully from open and woman crewmembers no deposit is required.
Please indicate here the total number of all participants (athletes, coaches, teamleaders, officials and accompanying persons)

Crew members / Supporters / Media / Crew officials / Other / Total

The final chart including administration fee (minus the deposit) will be sent later with the 3rd bulletin and named entry form. The deposit should be transferred to the following bank account:

To: Stichting ENC 2010

Bank: ING, Netherlands

Bank account: BIC-code (swift-code): INGBNL2A

IBAN: NL79INGB0004486885

If you wish to receive an invoice for the the deposit please fill in the invoice details for a correct invoice:

Invoice details:

Contact Person / Name:
Address / Street: / Zip: / City: / Country:
E-mail / E-mail:
Tel/Fax / Tel: / Fax:

Note:

Crews submitting late entries cannot be guaranteed an entry if the race programme has been completed or if the official accommodation has been fully booked. Crews are advised to book as soon as possible. After 1st of May 2010 an extra administration fee of 10% of the total administration fee will be charged due to late registration. For withdrawls after 15th of July 2010 there will be no refund of administration fee.

When completed, return before May 1st 2010

To E-mail: or Fax: 0031 – 20 24 00 115

/ www.enc2010.com