FITA Para-Archery World Ranking Tournament Czech Target 2012 ...

SHEET OF PAYMENTPARTICIPATION FEENo. of Team Members : ____________ x EUR 450,- = EUR ______________,-.TRANSPORTATION FEENo. of Team Members: _____________ x EUR 50,- = EUR ______________,-.Participation & Transportation Fees should be transfered no later than May 30, 2012 tothe following Bank Account:Bank Address: ČSOB, a.s.,Komenského 10,549 01, Nové Město nad MetujíCzech RepublicBank Account Owner: Sports Club Nove Mesto nad MetujíBank Account Number: 275371783/ 0300IBAN: CZ73 0300 0000 0002 7537 1783Variable Symbol: 20120530Specific Symbol: FITA/ NPCCompleted Sheet of Payment should be returned not later than May 30, 2012 to:Sportovni klub, ul. 28. rijna 943, Nove Mesto nad Metuji, 549 01, telefax: +420-491-474270,sportklub@sportklub.cz, www.sportklub.cz