ICCF

Registration form

Monday, January 19, 2015: for Champions; Challenger and Promotional League

Please send this entry form completed to de@iccf.com and nttc@iccf.com
during your registration process for DE ! Without this form the registration will have to be 
refused.



| ICCF-CL REGISTRATION FORM – 5th season, 2015-17 |
+-------------------------------------------------+
|                  TEAM GENERAL INFO              |
|                                                 |
| CURRENT TEAM NAME: ?                            |
|                                                 |
| OLD TEAM NAME    : ?                            |
| (IF DIFFERENT)                                  |
|                                                 |
| TEAM ID          : ?                            |
| (ENTER "NEW"                                    |
| IF NEW TEAM)                                    |
|                                                 |
| TEAM DIVISION                                   |
| FOR THIS SEASON  : ?                            |
|                                                 |
+-------------------------------------------------+
|                  PLAYER BOARD 1                 |
|                                                 |
| FIRST NAME       : ?                            |
| FAMILY NAME      : ?                            |
| COUNTRY          : ?                            |
| ICCF NUMBER      : ?                            |
| EMAIL ADDRESS    : ?                            |
+-------------------------------------------------+
|                  PLAYER BOARD 2                 |
|                                                 |
| FIRST NAME       : ?                            |
| FAMILY NAME      : ?                            |
| COUNTRY          : ?                            |
| ICCF NUMBER      : ?                            |
| EMAIL ADDRESS    : ?                            |
+-------------------------------------------------+
|                  PLAYER BOARD 3                 |
|                                                 |
| FIRST NAME       : ?                            |
| FAMILY NAME      : ?                            |
| COUNTRY          : ?                            |
| ICCF NUMBER      : ?                            |
| EMAIL ADDRESS    : ?                            |
+-------------------------------------------------+
|                  PLAYER BOARD 4                 |
|                                                 |
| FIRST NAME       : ?                            |
| FAMILY NAME      : ?                            |
| COUNTRY          : ?                            |
| ICCF NUMBER      : ?                            |
| EMAIL ADDRESS    : ?                            |
+-------------------------------------------------+
|                  TEAM CAPTAIN                   |
|                                                 |
| FIRST NAME       : ?                            |
| FAMILY NAME      : ?                            |
| COUNTRY          : ?                            |
| ICCF NUMBER      : ?                            |
| EMAIL ADDRESS    : ?                            |
+-------------------------------------------------+


by nttc@iccf.com

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