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(Deluxe Ski Jump Registration Form)

O(Name)   : _______________________________________________

Z(Address): _______________________________________________
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E-mail       : _______________________________________________

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             : [ ] X(mail)   [ ] dq[(e-mail)

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 [ ] Australia       10 AUD   [ ] Italy        15000 ITL
 [ ] Austria        100 ATS   [ ] { (Japan) 1000 ~(JPY)
 [ ] Canada          12 CAD   [ ] Norway          60 NOK
 [ ] Czech Republic 300 CZK   [ ] Poland          30 PLN
 [ ] Denmark         50 DKK   [ ] Sweden          70 SEK
 [ ] Estonia        120 EEK   [ ] Switzerland     12 CHF
 [ ] Finland         40 FIM   [ ] The Netherlands 15 NLG
 [ ] France          50 FRF   [ ] USA              8 USD
 [ ] Germany         15 DEM   [ ] United Kingdom   5 GBP

 [ ] ̂ق̍̏ꍇ 8 USD / 15 DEM / 40 FIM

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 [ ] 𓯕 (Cash payment enclosed)

 [ ] sEX֋ǂ瑗(Bank transfer)
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         : Mr. Jussi Koskela
     s  : Keski-Uudenmaan Osuuspankki
               Kerava, Finland
     ԍ: 513205-246434

t@с@: ____________________________________

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          Mediamond Tmi

Z      Kaenkatu 4 B 20
          04230 Kerava
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: jussi.koskela@mediamond.fi  (p)
