Amsterdam Open 2023 Registration Form (Bank Transfer)

[paytium name=”Amsterdam Open Registration” description=”Amsterdam Open Registration”] [paytium_no_payment /]

[paytium_field type=”label” label=”Team Information” /]

[paytium_field type=”text” label=”Teamname” required=”true” /][paytium_field type=”dropdown” label=”Country  ” options=”Afghanistan/Albania/Algeria/America/Andorra/Angola/Antigua/Argentina/Armenia/Australia/Austria/Azerbaijan/Bahamas/Bahrain/Bangladesh/Barbados/Belarus/Belgium/Belize/Benin/Bhutan/Bissau/Bolivia/Bosnia/Botswana/Brazil/Brunei/Bulgaria/Burkina/Burma/Burundi/Cambodia/Cameroon/Canada/Cape Verde/Central African Republic/Chad/Chile/China/Colombia/Comoros/Congo/Costa Rica/Croatia/Cuba/Cyprus/Czech/Denmark/Djibouti/Dominica/East Timor/Ecuador/Egypt/El Salvador/Emirate/England/Eritrea/Estonia/Ethiopia/Fiji/Finland/France/Gabon/Gambia/Georgia/Germany/Ghana/Great Britain/Greece/Grenada/Grenadines/Guatemala/Guinea/Guyana/Haiti/Herzegovina/Honduras/Hungary/Iceland/India/Indonesia/Iran/Iraq/Ireland/Israel/Italy/Ivory Coast/Jamaica/Japan/Jordan/Kazakhstan/Kenya/Kiribati/Korea/Kosovo/Kuwait/Kyrgyzstan/Laos/Latvia/Lebanon/Lesotho/Liberia/Libya/Liechtenstein/Lithuania/Luxembourg/Macedonia/Madagascar/Malawi/Malaysia/Maldives/Mali/Malta/Marshall/Mauritania/Mauritius/Mexico/Micronesia/Moldova/Monaco/Mongolia/Montenegro/Morocco/Mozambique/Myanmar/Namibia/Nauru/Nepal/Netherlands/New Zealand/Nicaragua/Niger/Nigeria/Norway/Oman/Pakistan/Palau/Panama/Papua/Paraguay/Peru/Philippines/Poland/Portugal/Qatar/Romania/Russia/Rwanda/Samoa/San Marino/Sao Tome/Saudi Arabia/Scotland/Senegal/Serbia/Seychelles/Sierra Leone/Singapore/Slovakia/Slovenia/Solomon/Somalia/South Africa/South Sudan/Spain/Sri Lanka/St Kitts/St Lucia/Sudan/Suriname/Swaziland/Sweden/Switzerland/Syria/Taiwan/Tajikistan/Tanzania/Thailand/Tobago/Togo/Tonga/Trinidad/Tunisia/Turkey/Turkmenistan/Tuvalu/Uganda/Ukraine/United Kingdom/United States/Uruguay/Uzbekistan/Vanuatu” required=”true” /][paytium_field type=”radio” label=”Select your division” options=”130 – Division 1/130 – Division 2/110 – Division 3/110 – Division 4/110 -Ladies/130 – WAITLIST Division 1/130 – WAITLIST Division 2/110 – WAITLIST Division 3/110 – WAITLIST Division 4/110 – WAITLIST Ladies” options_are_amounts=”true” limit_message=”Sold-out – use waitlist!” limit=”16/12/12/8/8/100/100/100/100/100″ /] The number of seats available is based on the total number of seats minus the PAID seats. Some reservations may be pending payment and not yet processed in the seats available. We adopt the principle of FIRST PAID, FIRST SERVED. You can register for waiting list when registration for your division is full. We will refund your registration fee when your team is not admitted and cannot participate. If you have questions about the waiting list, please contact us at amsterdamopen@mdr.nu.

[paytium_field type=”label” label=”Accommodation” /]

[paytium_field type=”radio” label=”Select your accomodation” options=”Yes, we would like to use the campsite/No, we will find accommodation for ourselves” required=”true” /]

[paytium_field type=”label” label=”Contact Information”/]

[paytium_field type=”text” label=”Name” required=”true” /][paytium_field type=”text” label=”Phone” required=”true” /][paytium_field type=”email” label=”E-mail” required=”true” /][paytium_field type=”text” label=”Additional information or comments” maxlength=”200″ required=”false” /]

[paytium_field type=”label” label=”Terms & Conditions”/]

[paytium_field type=”checkbox” label=”Please accept the following” options=”The team confirms the registration for the Amsterdam Open 2023 event/The team accepts the responsibility for accidents and injuries/GDPR – the team allows the organisation to use the provided information for administration, communiation of event details and other use within the scope of the event” required=”true” /]

[paytium_field type=”label” label=”Payment Information”/]

After submitting the registration form a position will be held for you for a limited time. Please use the following information and complete your payment as soon as possible. Your registration is only final and confirmed after we received your payment. Make a payment using the following information:

• Account holder:  U.R.K.V. Michiel de Ruyter
• IBAN (account number): NL72 INGB 0005 3454 61
• BIC (international bank number): INGBNL2A
• Payment description:  Entry Fee Amsterdam Open 2023

Other bank details:

• Bank:  ING Bank N.V.
•  Foreign Operations
•  PO Box 1800
•  1000 BV Amsterdam

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