TELEFAX COVER SHEET

Austrian Open Vienna – from June 26th to 28nd 2015
Entry Form – Singles and Warmup
Name:
Email:
Address:
Country:
Phone:
I hereby register the following persons for participation in the tournament (please tick the competitions):
Name
Warmup
Men
Women
Number of participants in the Men/Women Event:
x € 16,-- = €
Number of participants in the Boys/Girls Event:
x€
Number of participants in the Warmup Event:
x € 10,-- = €
Total amount of Euros: €
Youth
(Boys)
Youth
(Girls)
0,-- = €
. This has to be paid via banktransfer to the following bank account:
Wiener Darts Verband; BIC: OPSKATWW; IBAN: AT406000000007642643
Date and signature oft he responsible person:
Wiener Darts Verband
c/o Oben & Unten | Schönbrunnerstraße 90 | A-1050 Wien | www.wdv-dart.at | ZVR: 979169662
DVR.: 0665070 | Bank Data: Wiener Darts Verband; BIC: OPSKATWW; IBAN: AT406000000007642643
Gründungsmitglied des ÖDV
Austrian Open Vienna – from June 26th to 28nd 2015
Entry Form – Pairs Events
Name:
Email:
Address:
Coutry:
Phone:
I hereby register the following persons for participation in the tournament (please tick the competitions):
Player 1
Number oft the participating pairs:
Player 2
Men
Women
x € 26,-- = €
This ist the total amount of Euros to be paid via banktransfer to the following bank account:
Wiener Darts Verband; BIC: OPSKATWW; IBAN: AT406000000007642643
Date and signature oft he responsible person:
Wiener Darts Verband
c/o Oben & Unten | Schönbrunnerstraße 90 | A-1050 Wien | www.wdv-dart.at | ZVR: 979169662
DVR.: 0665070 | Bank Data: Wiener Darts Verband; BIC: OPSKATWW; IBAN: AT406000000007642643
Gründungsmitglied des ÖDV