Tilmeldingsblanket
Submission form
Navn/Name
E-m@il
Klub/Club
Mobilnr./Mobile no.
Alder/Age
Classic
Andet/other
□ Social
□ Renegade
□ Newcomer
□ Modern B New/Nov
□ Novice
□ Modern A Int/Adv
□ Intermediate
□ Team
□ Advanced
□ Showcase
□ Wheelchair
Cpr. (dd-mm-år) __-__-__
Koreografi
□ Newcomer/Novice
Titel/Title:
Titel/ Title:
□ Intermediate/Advanced
Titel/ Title:
Titel/ Title:
Billet/Ticket
Beskrivelse
1) Entré og workshop
billet & konkurrence
gebyr
For dansere der skal deltage i
konkurrencen og workshops
(Entrance & Workshop
ticket incl. competition fee)
2) Entré og workshop
billet, forudbestilling
(Entrance & Workshop,
preorder)
3) Aftensmad
(Dinner banquet)
I alt/total
Dato (date):
Antal Pris
Pris
i alt
350,-
(Dancers who are entering in the
competition)(dinner not included)
Tilskuere og dansere
75,-
(Spectators and dancers)
Børn 6-13 år (children)
45,-
Buffet
børn 6-12 år (children)
140,65,-
Underskrift (signature):
Denne blanket sendes til (email this form to): [email protected]
Tilmelding til konkurrencen samt bestilling af aftensmad er senest den 01.10.15. Beløbet indbetales
på kontonr. 9332-0010181119. Step sheets skal indsendes senest den 10.10.15. Alle forudbestilte
billetter udleveres ved døren på dagen. Forudbestilte billetter kan IKKE refunderes efter den
01.10.15. Billetter kan købes ved døren under hele arrangementet til kr. 100,- (tilskuere og
dansere) og kr. 50,- (børn). Alm. billetter kan bestilles frem til den 10.10.15.
Submission form and ordering of dinner is due no later than October 1, 2015. The payment should
be made to account: Sparekassen Kronjylland - Owner of account: Real Linedance
IBAN : DK6693320010181119 Swift: KRONDK22
Step sheets for choreography must be emailed no later than October 10, 2015. All preordered
tickets will be available at the entrance at arrival. Preordered tickets are non-refundable after
October 1, 2015. Tickets for spectators are also available at the entrance on the competition day.
The price is 100 dkr. and 50 dkr. for children.
Kontakt (contact) info
Benny Ray [email protected]
Randi Plesner [email protected] (tlf. 98542853)
www.reallinedance.dk / facebook: DM2015