My team Info

Application

Please fill in the form below to register for Partille Cup 2012.

Your information

Partille Cup referee no (If you have):


First name: *


Last name:*


Nationality: *


Date of birth: *
 Street:*


Post nr: *


City: *


E-mail: *


Telephone mobile: *


Telephone home:


Telephone work:


Social security no.:

Bank:*
 Clearingnr.: *


Kontonr.: *
Social security no.: *


Information about present referee category

Referee category:*


Informtion abouth your participation

Accommodation:*


Your referre partner:


 Special food:


If yes, for what reason?

When can you be a referee?

Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:

Othert

Size on Referee t-shirt?
 Other requests?