MIMSA CUP 2011 APPLICATION FORM
TEAM: __________________________________
PLAYERS: COLOUR: _____________
Captain:
Phone no.:
2:
3:
4:
5:
6:
7:
Please deliver this application form to MIMSA during office
hours at the latest 27th APRIL. Participation fee is:
- 100,-Kc for MIMSA & ESN & SPOLEK MEDIKU CARDHOLDERS
- 150,-Kc for NON CARDHOLDERS
Minimum 5 Players / Maximum 7 Players
NOTE: When not playing, each team must have a player to referee
some games.
Check www.mimsa.cz for more info (place, time, office hours)