Registration Skydive Pink Tozeur 2005

Please fill out everything!   First Name * Last Name * Street * Country, Postal Code * City * Telephone e-mail *   DOB Licensenr. Passportnr. Main Canopy Rig Double Room with: Single Room I want a packer I am VIP-Member Date (please check): Geringfügige Änderungen bei Daten und Preisen möglich!!   Code From Days from to Euros         Freitag Freitag   F11 Frankfurt 7 04.02.05 11.02.05 950,-- F12 Frankfurt 14 04.02.05 18.02.05 1310,-- F21 Frankfurt 7 11.02.05 18.02.05 950,--         Freitag Freitag   M11 Munich 7 04.02.05 11.02.05 950,-- M12 Munich 14 04.02.05 18.02.05 1310,-- M21 Munich 7 11.02.05 18.02.05 950,-         Freitag Freitag   D11 Düsseldorf 7 04.02.05 11.02.05 950,-- D12 Düsseldorf 14 04.02.05 18.02.05 1310,-- D21 Düsseldorf 7 11.02.05 18.02.05 950,--                     Thursday Sunday   W11 Vienna 10 03.02.05 13.02.05 1140,-- W12 Vienna 17 03.02.05 20.02.05 1490,-- W21 Vienna 10 10.02.05 20.02.05 1140,--                 Packages include: Flight with Tunisair 3* Hotel ClubMed Transfers in Tozeur between Airport and Hotel Organisation fee NO Tickets All prices in EURO Ticket prices: € 26,50 VIP Member € 21,-- Single Room fee per week: € 125,-- People who organize their own trip will have to pay per week: Organisationsfee and Transfers € 130,-- If you register and pay before 10th of January 2004:  € 80,-- For VIP-Members: if you organize your own trip Organisation fee € 60,--/week or Package-Price: minus € 40,-- per week To assure that everybody can make as many jumps as they want, we have limited slots available. The Pink Skyvan reserves the right to decline registrations. People who are not registered have to pay the Organisation fee and can only jump if there are slots available. non-jumping companions: Companion First Name: Companion Last Name: Companion Passportnr: Companion DOB: Payment: non refundable advance payment  € 200,-- -  until 15th of Dec. 2003 final payment until 14th of Jan. 2004 I pay into your account In Austria: BA-CA; BLZ 12000; Konto 0177-32116/00 lautend auf IPPC In Germany: Sparkasse Passau; BLZ 740 500 00; Konto 18994 lautend auf IPPC Please contact office@pink.at for international bank information Die Plätze  limited slots for 110 Skydivers other: I accept the Geschäftsbedingungen und Ausbildungsrichtlinien (in German) from the IPPC. Date: If you don't get a confirmation: mark the form [strg A], copy it [strg C] and put it into a new mail [strg V] and send it to  office@pink.at! or Fax to 01143 1 88 98 222 26 or mail to: IPPC - International Pink Parachute Club Endresstrasse 79/4; A-1238 Wien; Austria/Europe