European Jeepers Jamboree®

Entry-form E.J.J.2002

16th E.J.J.

Name:

Address:

Zip-code:

City:

Country:

Phone.:

E-mail:

Model Jeep

Licence-number

Built in

participation Concours d' ษl้gan

Chosen course classifica

I wish to registrate for :

Price

€ 350,=

Registration-fee 

Breakfast  (fr-sa-su-mo  4x per person) € 32,=                        €

EXTRA BBQ tickets per persoon         € 10,=                        €

Total amount (in €)

Herewith I agree to adhere to all rules and regulations as stipulated in the enclosed documentation to take part in the  European Jeepers Jamboree.  The organisation can not be held responsible for damage sustained by or caused by participant and third parties. In case of cancellation of the event because of force beyond control of the organisation or by force of nature the organisation will repay 70 % of the entry-fee and can not be held responsible for other

Signature : ________________  Date: ____________

Print this entry-form and give it signed to our administration office in the festival tent . Participation is only possible when the full registration-fee is paid.

Organisation
E.J.J.

Our address in Belgium: 

Tel.: +32(0) 475866915
E-mail: secretariaat@jeepersjamboree.org
Kredietbank Mortsel (Belgi๋)
Rekeningnummer: 407-4466911-50
KvKnr. Arnhem: 41050634 NL

Foundation European Jeepers Jamboree®
Meidoorn 1 /4
2640 Mortsel Belgi๋

Tel.: +32(0) 475866915
E-mail: info@jeepersjamboree.org
Kredietbank Mortsel (Belgi๋)
Rekeningnummer: 407-4466911-50
KvKnr. Arnhem: 41050634

Foundation European Jeepers Jamboree®
Postbus 9
6880 AA
Velp
The Netherlands