TEAM MANAGER / STAFF / COACHES Gender Surname Given Name Official Position Passport Number (F/M) 1 2 3 4 5 6 Please e-mail or fax this document to the following address before 1 August 2015: Lizzie E-mail address: Fax: +27 86 2737 092 14 4th ENTRY FORM PAYMENTS IAADS + ITTADS Country: ACCOMMODATION REQUEST ACCOMMODATION OPTIONS COST NUMBER COST REQUESTED Hotel Rooms R1 000 per person per – day Twin (2 single beds) Hotel Rooms R1 000 per person per – day Double (1 double bed) Chalets/Log Cabin R1 000 per person per day (2 rooms single beds) – Chalets / Log Cabin R1 000 per person per day (1 room single beds) – Bus transport from O R Airport R500-00 per person to Bloemfontein and back to O R Tambo Airport Capitation Fees R350 per person (All team members) Total PACKAGE + CAPITATION FEE + TRANSPORT FROM O R TAMBO The 30% of the Entry Package must be paid before 1stAugust 2015 The final payment must be done before 30 September 2015 TO: ACCOUNT NAME SASA-II (South African Sports Association for the Intellectually Impaired) BANK Nedbank (Secunda)
TEAM MANAGER / STAFF / COACHES Surname Given Name Gender (F/M) Official Position Passport Number 1 2 3 4 5 6 Please e-mail or fax this document to the following address before 1 August 2015: Lizzie E-mail address: Fax: +27 86 2737 092 14 4th ENTRY FORM PAYMENTS IAADS + ITTADS Country: ACCOMMODATION REQUEST ACCOMMODATION OPTIONS COST NUMBER REQUESTED COST Hotel Rooms – Twin (2 single beds) R1 000 per person per day Hotel Rooms – Double (1 double bed) R1 000 per person per day Chalets/Log Cabin (2 rooms – single beds) R1 000 per person per day Chalets / Log Cabin (1 room – single beds) R1 000 per person per day Bus transport from O R Airport to Bloemfontein and back to O R Tambo Airport R500-00 per person Capitation Fees (All team members) R350 per person Total PACKAGE + CAPITATION FEE + TRANSPORT FROM O R TAMBO The 30% of the Entry Package must be paid before 1stAugust 2015 The final payment must be done before 30 September 2015 TO: ACCOUNT NAME SASA-II (South African Sports Association for the Intellectually Impaired) BANK Nedbank (Secunda)
World%20Champs%202015%20Invitation%20Pack.docx