LIETUVOS KURČIŲJŲ SPORTO FEDERACIJA

LITHUANIAN DEAF SPORTS FEDERATION

Code 9065175, Sv. Kazimiero str. 3, LT-01127 Vilnius, tel.: +370 5 261 25 70, Fax: +370 5 261 54 80

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NBDSF basketball championship

Vilnius, Lithuania

Accommodation form for participants in the -

NBDSF basketball championship

from 2^nd until 4^th June 2006 in Vilnius (Lithuania)

Accommodation includes breakfast and transportation from airport and bus station and train station.

Luxury hotel Number of rooms Ordinary hotel Number of rooms

Single room - 90 Euro/night/room …… Single room – 30 Euro/night/room …….

Double room - 100 Euro/night/room …… Double room – 40 Euro/night/room …….

Number of persons Number of persons

Lunch – 8 Euro/person …... Lunch – 8 Euro/person ……

Dinner – 8 Euro/person …... Dinner – 8 Euro/person ……

Arrival date: _________________ Departure date:_________________

Arrival by train, bus, plane …………………….

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Deadline 20^th march 2006

by fax. +370 5 2615480 or e-mail. lksfa@takas.lt

Name of the organisation: __________________________________________

Adress: __________________________________________

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Telefax: __________________________________________

E - Mail. __________________________________________

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Place, date Head of organisation Secretary