JWOC Dubbo Australia 2007

Dubbo, New South Wales, Australia.

PRELIMINARY ENTRY FORM

To be filled in by Country Federations.
Must be submitted by March 30, 2007 to JWOC Administration
INSTRUCTIONS:
1. Complete the form on screen;
2.Print out a copy for your records;
3. Click the SUBMIT button to send your entry by email to the JWOC Administration.

CONTACT DETAILS:

JWOC 2007, C/o Nick Dent, 8 Irving Close, Terrigal 2260, NSW, Australia.
Telephone: +61 2 43843627,
Email: dentwood@bigpond.com

COUNTRY

TEAM DETAILS

	Women (max. 6)	Men (max. 6)	Officials (max. 4)	TOTAL (max. 16)
Number of participants
	Women (max. 2)		Men (max. 2)
Number of relay teams

ENTRY FEE Includes accommodation, meals and transport from event centre to events, according to the program.

We wish to book the following categories:
Category	Total persons	Price/Person	TOTAL price/category
A		AU$700	AU$
B		AU$600	AU$
C		AU$500	AU$
TOTAL AU$			AU$

TRAINING CAMP We will take part in the Training Camp No. 2, 29^th June - 5^th July. Cost AU$475 per person (accomodation and food). YES NO

Expected date of arrival:

TEAM MANAGER Please insert contact details for the person who will be accompanying the team to Australia.

Name:		Phone:
Address:		Mobile:
		E-mail:
		Fax:
		Date:

IMPORTANT
Have you entered all relevant data?
Is it all correct?
If so, Print out a copy of the form, using your browser's print icon.
Next, click on the "Submit" button.
(If the data is incorrect, click on the "Reset" button and start again.)
Note: This form uses your default email program to sent your entry details to JWOC 2007 Administration.
You may be asked to confirm that it is OK to send. If so just click “OK”.
If you are unable to submit the form electronically (some security systems may prevent this),
please post a copy of your print-out to JWOC 2007 (see address under “Contact Details” above).

PAYMENTS Take your printed copy of this form to your bank to arrange payment to JWOC 2007.
All payments must be remitted in Australian Dollars (AU$) to the JWOC 2007 bank account by May 18^th, 2007.

Bank Acount Details:	Beneficiary:	OANSW JWOC 2007
	Beneficiary's account No.:	062279 10209432
	Bank:	Commonwealth Bank of Australia
	Address of Bank:	Baulkham Hills, NSW 2153, Australia.
	SWIFT code:	CTBA AU2S

Form modified on ... June 9, 2006