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application
First name:*
Family name:*
Date of birth:
Address:
State:*
Team:
Title/EC:
ELO FIDE:
ELO national:
Selected accommodation variant (including dates of arrival and departure), accompanying persons:
E-mail:

Other messages:

Please check fulfilled information before sending.

Please send your filled application form at address of the organizer till 30.06.2011.

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