ICCF Champions League

Fill out this form and send it to your national CC federation with entry fee.
They will forward it to the ICCF-CL office.
+-------------------------------------------------+
| ICCF CHAMPIONS LEAGUE ENTRY FORM - 1st season   |
+-------------------------------------------------+
|                                                 |
| TEAM NAME:                                      |
|                                                 |
| TEAM NAME IN QUALIFICATION CYCLE:               |
|                                                 |
| SPECIFY "NEW" or "OLD" TEAM:                    |
|                                                 |
| (IF "OLD" THEN LIST QUALIFICATION GROUP):       |
|                                                 |
| PLAY ALL GAMES ON ICCF WEBSERVER?: YES / NO     |
|                                                 |
+-------------------------------------------------+
|                PLAYER BOARD 1                   |
| NAME         :                                  |
| SURNAME      :                                  |
| COUNTRY      :                                  |
| ICCF NUMBER  :                                  |
| EMAIL ADDRESS:                                  |
+-------------------------------------------------+
|                PLAYER BOARD 2                   |
| NAME         :                                  |
| SURNAME      :                                  |
| COUNTRY      :                                  |
| ICCF NUMBER  :                                  |
| EMAIL ADDRESS:                                  |
+-------------------------------------------------+
|                PLAYER BOARD 3                   |
| NAME         :                                  |
| SURNAME      :                                  |
| COUNTRY      :                                  |
| ICCF NUMBER  :                                  |
| EMAIL ADDRESS:                                  |
+-------------------------------------------------+
|                PLAYER BOARD 4                   |
| NAME         :                                  |
| SURNAME      :                                  |
| COUNTRY      :                                  |
| ICCF NUMBER  :                                  |
| EMAIL ADDRESS:                                  |
+-------------------------------------------------+
|                TEAM CAPTAIN                     |
| NAME         :                                  |
| SURNAME      :                                  |
| COUNTRY      :                                  |
| ICCF NUMBER  :                                  |
| EMAIL ADDRESS:                                  |
+-------------------------------------------------+
27-August-2004