Oita Athletics　2008　entry　form (E-mail style)

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First name
Last name
Address
State
Postcorde
Country
Telephone(incl.country code)
Fax
E-mail
Date of Birth
Male/Female	Male Female
CLASSIFICATOIN	T51 T52 T53 T54
EVENTS	100m (Personal Best) 200m 400m 800m 1500m 5000m
TRAVEL DETAILS	A.ARRIVAL DETAILS
Arrival date
Air line
Flight Number
Arrival Time
	B.DEPARTURE DETAILS
Departure date
Air line
Flight Number
Departure Time
Transport	Yes No
Accommodation	Yes No
Number of person ※ the cost will be \5,250/night
	COACH/SUPPORTER INFORMATION
First name
Last name
Address
Telephone
Fax
E-mail
Any questions

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