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Regional Director Team Registration
Deadline 30 July 2008
Region
Identify your Region:
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Argentina
Australia
Austria
Belgium
Brazil
Canada
Czech Republic
Denmark
Ecuador
Estonia
Finland
France
Germany
Greece
Guam
Guatemala
Hong Kong
Indonesia
Ireland
Italy
Japan
Lithuania
Macau
Malaysia
Netherlands
New Zealand
Norway
Papua New Guinea
Philippines
Poland
Russia
Serbia
Singapore
Slovak Republic
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Thailand
Ukraine
United Kingdom
United States
Venezuela
Zimbabwe
Official Regional Teams
I hereby register the following official Regional Teams:
Note that only
one
official team per Region can be registered for each
recognised Division or Division/Category.
OPEN TEAM MEMBERS:
Name:
Name:
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Open LADY Team Members:
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Open JUNIOR Team Members:
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Open SENIOR Team Members:
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STANDARD TEAM MEMBERS:
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Standard LADY Team Members:
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Standard JUNIOR Team Members:
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Standard SENIOR Team Members:
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MODIFIED TEAM MEMBERS:
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Modified LADY Team Members:
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Modified JUNIOR Team Members:
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Modified SENIOR Team Members:
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PRODUCTION TEAM MEMBERS:
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Production LADY Team Members:
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Production JUNIOR Team Members:
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Production SENIOR Team Members:
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REVOLVER STANDARD TEAM MEMBERS:
Name:
Name:
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Name:
Revolver Standard LADY Team Members:
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Revolver Standard JUNIOR Team Members:
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Revolver Standard SENIOR Team Members:
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Contact Details
Surname:
Other Names:
Tel (Work):
+
Tel (Home):
+
Cellular:
+
Email:
International format +1 555 2223737 (country-area-number) for phones!
Comments or Other Requests
Indemnity and Registration Submission
By clicking the Submit button below, I hereby promise that on arrival in Bali, we will pay Match Organisers the amount of US$200 cash for each Team registered above.
I agree to the above disclaimers
WARNING! If you click the Reset button, ALL data entered above will be cleared!
