21 st FINA Diving Grand Prix
Bolzano – Bozen, 3 – 5 July 2015
The Federation of:
Team Manager:
Accommodation rate in Hotel:
Single Room rate Euro 130,00 (full board rate)
In Double Room rate Euro 104,00 (full board rate)
In Triple Room rate Euro 88,00 (full board rate)
Please use a new reservation form for every new group:
Date and Time of Arrival
Date and Time of Departure
N° of
nights
Accommodation
N° of
N° of
Single
Twin
Rooms
Rooms
Total
50% Deposit Due €
N° of
Triple
Rooms
x 130,00 € x 208,00 €
€
€
x 264,00 €
€
€
€
€
50% of total Euro =
€
PLEASE TICK ELECTRONIC TRANSFER
Beneficiary
Bank:
Reason of Transfer:
IBAN no:
BIC
ASD BOLZANO NUOTO
C/O PISCINA MASO DELLA PIEVE
39100 BOLZANO
CASSA DI RISPARMIO
th
21 FINA Diving Grand Prix – “Name of your Federation”
IT48 D060 4511 6010 0000 5004 684
CRBZIT2B001
DATE:___________________
STAMP OF THE FEDERATION
PLEASE SEND THIS FORM BACK TO THE FEDERAZIONE ITALIANA NUOTO - SETTORE TUFFI,
STADIO OLIMPICO - CURVA NORD, 00135 ROMA, ITALY
email: tuffi@federnuoto.it and international@federnuoto.it
WITH A COPY TO THE BOLZANO NUOTO
email: grandprix@bolzanonuoto.it
TH
WITHIN AND NO LATER THAN 14
MARCH 2015