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Registration
2008

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ITSA 2008 MEMBERSHIP


Allows entry into any ITSA/ISA Events in any Region.
International Rating for 2008 season. Seeding Points retained into 2009 season.
Dates: January 1st 2008 – Event Start Date
December 31st 2008 – Event End Date
REGISTRANT INFORMATION
First Name:
Middle Name:
Last Name:
E-mail:
Birthday:
Gender: x Male x Female
Mailing Address:
City:
Country:
State/Province:
ZIP/Postal Code:
Home Number:
Work Number:
Cell Number:
Fax Number:
ADDITIONAL INFORMATION
Your name as you would like it to appear on all ITSA heat sheets and publications:
Country of Origin: Country of Residence:
Social Security Number/Passport Number:
(for tax purpose only)
Hometown:
Current City of Residence:
Nicknames:
Top Career Accomplishments:
Sponsors:
Local Spot:
Favorite Movie:
Favorite Band/Music:
Goals for 2007 season and beyond:
Family (parents, spouse, kids):
Career: Education:
Other Interests:
Individuals authorized to enter/withdraw you from events (team manager, parents, spouse), if none write none :
T-shirt Size: S x M x L x XL x
Height:
Weight:
Favorite Breaks:
Stance: Regular x Goofy x
Shaper:
Favorite Maneuvers:
Favorite Lifts:
Favorite Surfers:
MEMBERSHIP FEE: $50 - 35€
DISCLAIMER
Please see the ITSA Membership Agreement and General Release of Claims at our website www.itsatandem.com Your registration indicates your acknowledgment and acceptance of ITSA Terms of Use and Privacy Policy.
x I agree with the above Disclaimer.
Date: Signature:





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International TANDEM Surfing Association
13 Rue du Repos, 33680 LACANAU OCEAN FRANCE
2500 kalakaua #2504 Honolulu Oahu Hi 96815 HAWAII
Phone : +33 5 26 01 16 - GSM : +33 6 12 66 52 08 - Email : contact@itsatandem.com
© Copyright itsatandem 2006-2008

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