WORLD MASTERS CHAMPIONSHIPS - RICCIONE 2004

Name _______________________
 
 
Accompanied By:
____________________________
 
 
 
Address
____________________________
____________________________
____________________________
____________________________
____________________________
 
 
Telephone (Eves/Weekends)    Fax (Eves/Weekends)
_______________________  _______________________
_______________________  _______________________
Telephone (Daytime)                Fax (Daytime)
_______________________  _______________________
_______________________  _______________________
Email
_______________________________________________
Will you prefer to travel with a group of people as part of the Masters Group from a London area airport

Yes / No

If yes, please circle preference(s), if any, for time of travel on the dates below:

31st May  am-noon  noon-6pm  after 6pm
7th June   am-noon  noon-6pm  after 6pm
Please indicate in order of preference, the airports you are prepared to travel from:

1. ____________________________
2. ____________________________
3. ____________________________
4. ____________________________
5. ____________________________
If not travelling as part of the Masters Group please state what dates you, and those accompanying you, require accommodation.

Number of People: ____________________

Arrive (date):_______________ at (time) _______________

Depart (date):_______________ at (time) _______________
Do you require a

   single room
   twin room / double room
   triple room
If going without partner, will you share a room:

   Yes / No
 
Sharer’s Name (if known)
Do you want someone to share with

   Yes / No

Are you a

   smoker / non-smoker