REGISTRATION | Freediving.md

REGISTRATION FORM

All fields are required

The entrance fee for participation in Moldova Freediving Championship
is 200 MDL (about 10 euros)

First Name

Last Name

Date of birth

Gender

Country

City

Phone

Emergency Phone

Email

Medical certificate (download, print and fill in)

I agree with rules and conditions

Payment

Online via card

I agree with payment terms and conditions

Bank transfer

Company - A. O. Sports Club "SPORTER"
Tax ID / IDNO 1013620009909
c / d: 2224003323 MDL
c / d: USD MD08VI022240300000041
c / d: EUR MD58VI022240300000041
Victoriabank S.A. Phil. №3. Chisinau
c / b: VICBMD2X416
Address: MD-2069, str. Ion Neculce 5 mun. Chisinau, Moldova

Other

The participation fee shall be effected at our office at the following address: 5 ION NECULCE street, until the 11th of December.

Wait, hold your breath for a moment!