RC Bali Nusa Dua Tennis Tournament – Entry Form

19th Annual
Rotary Club Bali Nusa Dua Tennis Tournament

16 – 23 May 2010
at the tennis courts of:

Westin Resort & Nikko Resort

Online Entry Form

Your Information
* Your name
Address 1
* Phone
Address 2
* HP
Your age
* Email
EVENTS AND ENTRY FEES
1.
Doubles partner name
2.
Doubles partner name
3.
Doubles partner name
4.
Doubles partner name
PAYMENT METHOD, BEFORE and LATEST,
12:00 noon 12 May 2010
Only by Bank transfer or Cash

By Cash
Print this form and bring it together with entry fee (in cash) to any of the following locations:
1. Chez Mimi/Globalxtreme.net, Jl. Raya Kerobokan 388X, BR. Semer, Kuta
2. Mandara Spa Office, Jl. Raya Kuta 707, Kuta
3. Rucci Sport, Jl. Veteran, Denpasar
4. D Corner, Jl. Sekarwaru 1, Sanur
5. Canggu Club, Tennis Reception/Mr. Robbert Wille

By Bank-payment.
Please transfer the above amount to Mrs. Mercia Inkiriwang,
BCA Cab. Kuta, Account No. 1461398699

IMPORTANT – For money transfer, please mention in remark:
· Rotary Tennis 2010 entry
· Your full name
· Event names you want to enter

After you fill out this form, please print and fax to Mercia Inkiriwang (Mimi) at: (0361) 731717

Each group must have minimum 4 entries

For More Information visit: http://tennis.rotarybali.org/

email jimmy@tennis.rotarybali.org

“Service above self”