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IML / IVV Czech Republic - Kudrna goes around Brno

KUDRNA GOES AROUND BRNO

KUDRNA GOES AROUND BRNO…

APPLICATION to march 2014 – for ONE person
Each participant fills this form separately !!!

For group of 10 or more participants do not fill out this form, but the list in Excel application for groups
and send to address application@iml-czech.com


Family Name:

First Name:

   *)

City:

Country:

     *)

Participations at
rambles in Brno:

 Write how many times you this year in Brno; when you for first time, write 1  *)

KČT:

  If you are a member of the KČT, write the card number for members discounts

Phone:

E-mail:

   *)

Note:

Fields marked *) are mandatory.


I want to take part on following actions and I order additional services  (check the required service)

 

Starting fee

Discount for
members KČT

Total CZK

IML/IVV – 2 days march with medal

Saturday+Sunday

350 CZK

100 CZK

+ CZK

IVV – 1 day march without medal

Saturday

  40 CZK

   10 CZK

+ CZK

Sunday

  40 CZK

   10 CZK

+ CZK

IVV – Kolomaznický pochod (Wheel-lubricating march)

Friday

  20 CZK

 

+ CZK

Breakfast

Saturday

   40 CZK

 

+ CZK

Sunday

  40 CZK

 

+ CZK

Accommodation in the gym
Only for participants from Czech and Slovak Republic or for
members of KČT (strict conditions of gym's owner)

We recomended campings near The Brno Dam

Friday/Saturday

   80 CZK

 

+ CZK

Saturday/Sunday

  80 CZK

 

+ CZK

Total:

= CZK

Payment:       individual group


The following section fill only in the case of the group and common payment:

Group name:

Leader name:

Number of group members: 

participants

Total payment:

CZK  (sum of payments all of individual participants)


By submitting this application I accept the conditions set out in proposal, each participant will walk at their own risk.


Payment

Foreign participants pays directly at the start in Brno. Pre-registered participants pays no extra charge.
For applications submitted after September 15th, 2014 we add amount 50 CZK (does not apply when you participate only on Wheel-lubricating March).

Payment possible only in Czech Crowns!
You can use exchange-offices in Brno city or ATM in Brno–Bystrc.
Payment by credit card (VISA, MasterCard,...) or PayPal (and similar) is not possible.

In case of cancelling your participation after September 18th, 2014 we will charge the penalty of 150 CZK (if you paid in advance).

Payments from abroad to our bank account is possible with small restrictions, see information on page Payment.