Person # 1 (Has to be filled)
Adresse:
Zip Code:
Town:
Club:
Phone:
E-mail adresse:

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Name on people atending Dance Friday Dance Saterday Main Level: PL-A1-A2-C1-C2
# 1 Set "Marker" Set "Marker"
# 2 Set "Marker" Set "Marker"
# 3 Set "Marker" Set "Marker"
# 4 Set "Marker" Set "Marker"
# 5 Set "Marker" Set "Marker"
# 6 Set "Marker" Set "Marker"

Camping at the hall - ONLY with Pre-signup!!
Camping at the hall? Number of units. Units (NO power)

Dance fee: (Signup before the 28th of february 2012 # of Dancers Unit Price Total in DKK
Adults kr. 1500,- p.p.
One Day singup Friday kr. 60,- p.p.
Saterday kr. 120,- p.p.
Food and Lodging
Afterparty Snack friday kr. 50,- p.p.
Lunch Saterday kr. 60,- p.p.
Camping no power kr. 75,- pro unit.
Total in DKK.

Payment:

If living outside Denmark, payment will be made on arrival:

Contact person:
ØSDC Att. Jørgen Møller, Sportsvej 5, DK-8883 Gjern, Danmark
E-mail: jdm@jmsafety.dk – Tlf.: (+45) 86 87 58 21- Fax: (+45) 86 87 58 62