to open Enrolment Form
Transcription
to open Enrolment Form
deadline: April, 15th 2015 Page # 1/5 1 WISPA KRAKOW 2015 ENROLMENT FORM (sent April, 15th 2015 at the latest) 1A- DELEGATION NAME OF THE DELEGATION: OFFICIAL MAIL ADDRESS OF THE DELEGATION STREET: POSTCODE: COUNTRY: PHONE: EMAIL: NR: TOWN: FAX: 1B- CONTACT PERSON NAME OF THE CONTACT PERSON: NAME OF THE LEADER'S DELEGATION: OFFICE MAIL ADDRESS OF THE CONTACT PERSON STREET: POSTCODE: TOWN: COUNTRY: PHONE: CELL: EMAIL: HOME MAIL ADDRESS OF THE CONTACT PERSON STREET: POSTCODE: TOWN: COUNTRY: PHONE: CELL: EMAIL: SURNAME: SURNAME: NR: FAX: NR: FAX: 1C- DETAILS OF THIS APPLICATION (ENROLMENT FEES - PARTY NIGHTS - DEFINITIVE ENROLMENT) Deadline ? Method ? April, 15th 2015 Payment of enrolment fees (Eur 60) and 4 Party nights (Eur 40) = Eur 100; Returning this 'definitive enrolment form' to the organizing committee COST OF ENROLMENT FEES & PARTY NIGHTS Concerns: all participants (player, spouse, etc) up to 12 years old Amount: Eur 60 + Eur 40 / person Total : Eur 100 / person Eur Total for the delegation : 1D- PAYMENT DETAILS FOR ENROLMENT FEES & 4 PARTY NIGHTS DEADLINE APRIL,15th 2015 Please deposit money for the enrolment fees, party nights & the accommodations charges: INTERNATIONAL POLICE ASSOCIATION - SEKCJA POLSKA UL. KOCHANOWSKIEGO 2A 60-844 POZNAŃ POLSKA ING Bank Śląski S.A ul. Sokolska 34 IBAN: PL 39 1050 1331 1000 0023 2522 1832 Nr BIC /SWIFT:/ INGBPLPW 40-086 Katowice Polska (Currency : EURO) For all info regarding payement please contact: Mister Arkadiusz Skrzypczak , IPA General Secretary - IPA section Poland Phone : +48783112112 E-mail: [email protected] The emphasis is placed above all else that you enjoy your stay with us. As soon as your foot touches the Polish soil, the organising committee does every thing in our power to help you make the most of your time with us. Our objective is that you will live an unforgettable moment, full of memories, partaking in our event. WA15-enrolmentForm.xls info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos facebook : WISPA KRAKOW 2015 event deadline: April, 15th 2015 Page # 2/5 2 WISPA KRAKOW 2015 ENROLMENT FORM (sent April, 15th 2015 at the latest) 2A- DELEGATION NAME OF THE DELEGATION: NAME OF THE CONTACT PERSON: 2B- COMPOSITION OF THE DELEGATION & ACCOMMODATIONS PARTICIPANTS SURNAME NAME most of the rooms are singles or doubles. ROOMS SEX(M/F) DATE of BIRTH SINGLE DOUBLE (TRIPLE) (FAMILLY) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Please make a selection for each couple married or familly. Total of rooms : 2C- CHOICE of the HOTEL / Hotel PENSION Prices in Eur/night/person breakfast incl. : YES Each delegation has the choice by one of the 10 hotels/pensions suggested by the organizing committee. 1 2 3 4 5 6 7 8 9 10 name Prezydent Krynica Panorama Karczma Saol Flora Gwarek Mewa Amphora Bozy Dar 2* stars 4* 4* 3* 3* 3* 2* 2* 2* 2* 2* single 88 30 23 17 16 15 15 15 15 14 double 63 30 23 17 16 15 15 15 15 14 triple NO x 17 16 15 15 15 15 14 The rooms have to be booked only by the committee, not directly by the delegations. Date of Arrival : August 2015 Date of Departure: August 2015 Number of Nights : Nights Total of the accommodation charges for the delegation in Eur : WA15-enrolmentForm.xls info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos Eur facebook : WISPA KRAKOW 2015 event deadline: April, 15th 2015 Page # 3/5 3 WISPA KRAKOW 2015 ENROLMENT FORM (sent April, 15th 2015 at the latest) 3A- DELEGATION NAME OF THE DELEGATION: NAME OF THE CONTACT PERSON: 3B- HOTEL PAYMENT DETAILS DEADLINE MAY,31st 2015 Please deposit money for the accommodation charges on the same bank account than the enrolment fees and party nights charges. To be booked you must may 100% of your rooms. MAY,31st 2015 (minimum 50% of accommodations charges) Deadline ? Please deposit money for the enrolment fees & the accommodations charges: INTERNATIONAL POLICE ASSOCIATION - SEKCJA POLSKA UL. KOCHANOWSKIEGO 2A 60-844 POZNAŃ POLSKA ING Bank Śląski S.A ul. Sokolska 34 40-086 Katowice Polska IBAN: PL 39 1050 1331 1000 0023 2522 1832 Nr BIC /SWIFT:/ INGBPLPW (Currency : EURO) For all info regarding payement please contact: Mister Arkadiusz Skrzypczak , IPA General Secretary - IPA section Poland Phone : +48783112112 E-mail: [email protected] 3C- PHILANTHROPIC ACTION (August, 28th 2015) Info coming soon about the WISPA philanthropy action (hospital in Krakow for children). NAME SURNAME AGE FUNCTION & TITLE 1 2 3D- GRAND OPENING CEREMONY (August, 24th 2015) Flags of each country will be provided by the organizing committee free of charge. NAME SURNAME AGE FUNCTION & TITLE 1 2 3 At least two people (uniform dress) of each delegation will take part at the opening ceremony. The rest of the delegation will be the spectators. 3E- INTERNATIONAL SECURITY CONGRESS (August, 28th 2015) The enrolment of the international security congress is free of charges. Snacks & drinks will be provided. A certificate is provided. NAME SURNAME AGE FUNCTION & TITLE 1 2 3 The subject or the topic of the meeting will provided to delegations during the month of April 2014. 3F- Indoor Soccer FAIR-PLAY Tournament (August, 25th, 27th & 29th 2014) Each delegation may present or register several teams. The enrolment is free of charge. I TEAM #1 NAME 1 2 3 4 5 6 7 8 9 10 11 12 WA15-enrolmentForm.xls Nominations: SURNAME AGE x SEX(M/F) #1 Women division #2 Senior division (35 years old and more) #3 Junior division (up to 35 years old) Mixt team is allowed Colours of shirts: info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos set 1 set 2 facebook : WISPA KRAKOW 2015 event deadline: April, 15th 2015 Page # 4/5 4 WISPA KRAKOW 2015 ENROLMENT FORM (sent April, 15th 2015 at the latest) 4A- DELEGATION NAME OF THE DELEGATION: NAME OF THE CONTACT PERSON: II TEAM #2 NAME Nominations: SURNAME AGE x SEX(M/F) #1 Women division 1 2 3 4 5 6 7 8 9 10 11 12 #2 Senior division (35 years old and up) #3 Junior division (up to 35 years old) Mixt team is allowed Colours of shirts: III TEAM #3 NAME set 1 set 2 Nominations: SURNAME AGE x SEX(M/F) #1 Women division 1 2 3 4 5 6 7 8 9 10 11 12 #2 Senior division (35 years old and more) #3 Junior division (up to 35 years old) Mixt team is allowed Colours of shirts: IV PLAYERS FREE FOR WISPA INTERNATIONAL TEAMS NAME SURNAME AGE set 1 set 2 Each delegation has to provide some players for the WISPA int. Teams SEX(M/F) 1 2 3 4 5 4B- EXCURSIONS outside basic programme These excursions are not obligatory for the participant. The organising committee may propose some excursions outside the basic programme when the delegation'll not play (free day), These prices negotiated include transport, guide & entrance. The excursions charges may be paid on the same bank account than Enrolment fees, Party Nights charges & accommodations charges. Thank you ! x YES NO August, 26th Krakow & Wieliczka Eur 40/person (lunch incl.) YES NO August, 30th Nowy Sacz Galician FREE of charges YES NO August, 30th Auschwitz-Birkenau Eur 20/person WA15-enrolmentForm.xls info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos facebook : WISPA KRAKOW 2015 event deadline: April, 15th 2015 Page # 5/5 5 WISPA KRAKOW 2015 ENROLMENT FORM (sent April, 15th 2015 at the latest) 5A- DELEGATION NAME OF THE DELEGATION: NAME OF THE CONTACT PERSON: 5B- ACTIVITIES FREE OF CHARGES This concept was created for the first world event in 2000, the activities 'free of charge' is a very interesting set-up for all participating parties. In fact, the participants prepay a certain sum at the inscription, the organizing committee negotiate the best possible prices for various services, and,on the other hand, the participant will benefit from a range of activities during the event. Free of charges: Welcome gift and transport between activities (airport(s)-hotel-locations) Opening ceremony with meal and animation (24th) Leader's briefing (23rd) and WISPA meeting (29th) Krynica-Zdroj City Tour & River Rafting (24th) WISPA International Police Congress (28th) Indoor soccer tounament (25th, 27th & 29th) Closing ceremony with trophys, meal and prices giving (29th) Assistance 5C- VISA APPLICATION The organizing committee will help the delegation in aplying for visas at your arrival in Amman. x YES NO If yes, the delegation must sent the list of travellers for the June, 15th 2015 at the latest to the Org' committee ([email protected]) attn to Mister Arkadiusz Skrzypczak, IPA General Secretary - section Poland. Name, surname, sex, date of birth, passport number and expiry day will on this list. The delegation needs a Jordanian visa : 5D- IDENTITY PHOTO - badge - event book Each participant will be identified during their stay in Jordan by a badge with individual photo. This photo'll be used also for the event book of the manifestation. The delegation must send on the photo (passport size) of each participant for the June,15th 2015 at the latest to the organising committee. 5E- INTERPRETER The main language of the event will be english. The organising committee will provide if possible a mother thongue interpreter for each country. 5F- FLIGHTS of the DELEGATION Flights of the members of the delegation: 1/ARRIVAL IN POLAND Last Airport : Next-to-last Airport : Date arrival : Last Flight # : Time of flight arrival in last airport (Krakow, Propad or Kosice) : 2/DEPARTURE FROM POLAND First Airport Date departure : Time of flight departure from Poland : First Flight # : This form (5 pages) must be sent to the attn of The WISPA KRAKOW Organizing committee on [email protected] We advice to send a copy of your enrolment form to Krzysztof & Ewa Bulanda : [email protected] Arkadiusz Skrzypczak, IPA Gl Secr. : [email protected] Thank you ! Thank you for your co-operation, please fill out the forms carrefully to avoid confusion later ! See you next August in Poland ! WA15-enrolmentForm.xls info http:// users.skynet.be/wispa wispa1.wix.com/wispa-events-photos facebook : WISPA KRAKOW 2015 event