LIMFJORDSCUP 2008

DOMMER TILMELDING

(SCHIEDRICHTER ANMELDUNG / REFEREE ENTRY)

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POSTNR./ BY:    ___________________________________  LAND:       _________________

TLF. NR. :            ___________________________________ NIVEAU:   _________________

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SPROG/ LANGUAGE: K DANISH  K ENGLISH  K  GERMAN  K   ______________________

NAVN:                _______________________________________________________________

ADRESSE:           _______________________________________________________________

POSTNR./ BY:    ___________________________________  LAND:       _________________

TLF. NR. :            ___________________________________ NIVEAU:   _________________

E-MAIL ADR.:    ______________________________________________________________

SPROG/ LANGUAGE: K DANISH  K ENGLISH  K  GERMAN  K   ______________________