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Last name

Cancellation charges
25% of the entry fee by cancellation
before 15. Aug. 10
50% between 15. Aug. and , 15. Sep.
75% between 16. Sep. and 30. Sep.
100% after the 1. Oct.
Organisation:
World Wide Sport Agency,
Gerhard Schönbacher, 12 Satellite Str.,
Clifton Beach QLD 4879, Australia
Payment:
50 % of the entry fee by registration and 50 % before the 1st of August 2010. After receiving your filled in and signed registrationform we will send you the invoice.
Last date of entry:
1st of August 2010!
Late entry after 1st of Aug. plus 5 %
First name
Street
Post Code
City
Country
Nationality
Phone
Fax
Date of birth
E-Mail
Team (name of my
team or supported rider)
 
T-shirt size
S M L XL
 
Sex
Female Male
 
I register as accompaying person
with own support vehicle transport in official vehicle
       
Support for the team or supported rider
   
  Entry fee support person    
  with own support vehicle
...more		   Euro 700,-   AUD  1.150,-
  lift in official car      Euro 950,-   AUD  1.550,-
       
       
  I hereby declare my acceptance of the conditions laid down by the organiser of the 16th Crocodile Trophy 2010. The foregoing is subject to change without prior notification. The organizer reserves the right to make changes to enhance the quality or safety of the race. I realise that the promoters, organizers and sponsors will take absolutely no responsibility for damages and injuries, which the competitor suffers. I explicitly state that I will make no claim whatsoever against those referred to in case of damage or injury. I am familiar with the conditions of participation and valid rules and accept them. In addition I agree to the publication of photos and film of the completion. I certify with my signature that participation is at my own risk and I am sufficiently insured against consequences resulting form accidents. The registration is valid and obligatory as soon as the registration form is transferred to the organizers completely filled and signed. I declare expressly that I have read and accepted the directions, regulations and conditions.