The 3rd Italian Challenge
Rimini Archery Indoor Tournament
4/5 February 2017
Entry Form
Individual Registration
Session 1 Morning
- Session 2 Afternoon
First Name_________________________________ Family Name ______________________________
Bow.______________ Age __________
Nationality _______________________
Mixed Team Enrolment
(both participants’ names)
Session 1 Morning
- Session 2 Afternoon
1) Men
Surname_________________________________ Family Name _________________________________
Bow .______________ Age __________
Nationality _______________________
2) Women
Surname_________________________________ Family Name _________________________________
Bow .______________ Age __________
Nationality _______________________
_________________________________________
_________________________________________
Data/Date
e-mail address
Registration fee individual: € 40,00 – Mixed Team: € 70,00
To be payed by money bank transfer not later that 15 of january
IBAN:
IT 73 T 07090 24208 013010183984
To be delivered to
[email protected]