APB WORLD TOUR OF BODYBOARD

PRIZE MONEY

MEN’S $25.000/ WOMEN’S $5.000/ PRO JUNIOR $2.000

Entry Form - Men, $250 USD, APB Tax included
Entry Form - Women, $200 USD, APB Tax included
Entry Form - PRO Juniors, $110 USD, APB Tax included

Entry form:

Nome / Name (obrigatório)

Sexo / Gender
Masculino / MaleFeminino / FemalePRO Junior

Morada / Address

Código Postal / ZIP Code

Localidade / City

País / Country

Cidadania / Citizenship

Telefone / Telephone

Fax (include country and area code)

Email (obrigatório)

Data de nascimento / Date of Birth
Format: YYYY-MM-DD

Ranking 2014 / Ranking position

Patrocinadores / Sponsors

Transferência bancária até 29 de setembro.
Bank transfer until September 29th.

Informação bancária / Bank transfer info:
CLUBE DESPORTOS ALTERNATIVOS NAZARE
Conta: 0531028410930
NIB: 0035 0531 00028410930 61
IBAN: PT50 0035 0531 00028410930 61
BIC SWIFT: CGDIPTPL

Fotocopia do CC / ID card scan:

Comprovativo de pagamento / Payment confirmation:

Liability and photographic release
I agree to abide by the event rules and am aware i am entering this event at my own risk. I also agree to allow the use of any moving or still pictures of me for the purpose of promoting bodyboard, Nazaré, the event/ Or the APB.