English Reservation form Cup 2017

Make your choice:

Team Captain:
Name of the team:
  
Adress:
 
Tel Number:
  
E-mail:
  
We deposit the sum of
   into NEW ACCOUNT!!!!! BE 72 9731 6168 7516 - vzw Belgian Rafting Fed. Gent
Your Message:
  
Accept the rules of the contest:
   I accept the Rules, the team Captain