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["Zolder (Belgium)",null,null,null,null,"Send to:",null,"René NICOLAS"]
["April 5th and 6th 2014",null,null,null,null,"Mail :",null,"bmx.europe@orange.fr"]
[null,null,null,null,null,null,null," "]
["Entries form"]
[]
["2014 BMX EUROPEAN LEAGUE - Rounds 1 and 2"]
["Name of Association",null,null," "]
["Adress 1",null,null,null,null,null,"NAME","Circuit Zolder"]
["Adress 2",null,null,null,null,null," "]
["Residence",null,null,null,null,null," "]
["Postal Code",null,null,null,null,null,"IBAN","BE74 3350 3404 3107"]
["Name of Team manager",null,null,null,null,null,"BIC","BBRUBEBB200"]
[null,null,null,null,null,null,"BANK"]
[null,null,"Deadline","March 21st 2014"]
[]
[null,"Payment of entry fees",null,"Bank transfer"]
[null,null,null,"Cash at registration desk"]
[]
[null,"Entry fees :","Elite Men, Elite Women : 57,00 euros, Junior Men, Junior Women  35,00 euros ( per round)"]
[null,null,"All Challenge classes: 27,00 euros per class (file one line per class)"]
[null,"Entry fees will be paid by bank transfer or in cash at registration control desk (tick in the corresponding cell)"]
[null,"Class entered for:","Plate #","Family name/ first name","Nation","Full D.O.B","Round 1",null,"Round 2","Entry fee Euros"]
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[null,"Return this form by e.mail only"]