RACE ENTRY FORM Grachtenrace Amsterdam 2019
Please read the following carefully:
- By filling in this form your team is entering the 33th edition of the Grachtenrace Amsterdam 2019
- Closing date for registration is September 29th, 2019 or when reaching the maximum number of participants
- Entry into the race is only final if we also receive your payment
- After sending the registration form, we request that you pay directly with the help of the information below

- Fee for registration is € 135,-
- Please use the following details for payment:

Account name: Roeisloepen Grachtentocht Amsterdam
ABN-Amro account number: NL85ABNA 054.53.27.113
BIC number: ABNANL2A
IBAN number: NL85ABNA0545327113
Always quote the name of the Rowing team and Yawl.

If you have any questions about your participation in the Grachtenrace Amsterdam, feel free to contact us.
In the weeks prior to the race we'll send some additional information with details about the race.

Stichting Roeisloepen Grachtentocht Amsterdam
Alvin Mangel
Dorpsstraat 13
3626 AC Nieuwer ter Aa
The Netherlands

www.grachtenrace.com
12 oktober 2019

All fields marked with an asterisk* are required.

Name yawl: *
Your answer
Name rowing team: *
Your answer
Women's or Men's team: *
Number of rowers: *
Your answer
Team website:
Your answer
Port of registration:
Your answer
Name contact: *
First and Last name
Your answer
Address: *
Full address (street, number / zipcode, city / country)
Your answer
Telephone number(s) contact: *
Your answer
E-mail address: *
Your answer
Name insurance: *
Your answer
Insurance number: *
Your answer
Payment: *
You can find all the payment information on top of this form
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