THE 27 TH PENANG INTERNATIONAL DRAGON BOAT FESTIVAL 2006
TELUK BAHANG DAM, PENANG, MALAYSIA
26 th , 27 th & 28 th MAY 2006

 ENTRY FORM
(Please send this Entry Form before 30 April 2006)

1. Name Of Dragon Boat Team:
2. Country:
3. Total Number Of Team Members:

 
Men
 
+
Women
 
=
Total
 

4. Races Participating:

1.

Penang International Open Race

20 Crew

500m

 

2.

Penang International Open Race

12 Crew

500m

 

3.

Penang International Women Race

20 Crew

500m

 

4.

Penang International Women Race

12 Crew

500m

 

5.

Penang International Mixed Race

20 Crew

500m

 

6.

Penang International Mixed Race

12 Crew

500m

 

7.

Penang International Junior Race

20 Crew

500m

 

8.

Penang International Junior Race

12 Crew

500m

 

9.

Penang International Senior Race

20 Crew

500m

 

10.

Penang International Senior Race

12 Crew

500m

 

11.

Penang International Senior Mixed Race

20 Crew

500m

 

12.

Penang International Senior Mixed Race

12 Crew

500m

 

13.

Penang International Breast Cancer Survivors Race

20 Crew

500m

 

14.

Penang International Breast Cancer Survivors Race

12 Crew

500m

 

(Please indicate (X) in the boxes above)

5. Racing Distance: 500m for all the other races.

6. Registration (Entry) Fees: Free of charge.

7. Date Of Arrival In Penang:
__Flight No :
__Flight Time:

8. Date Of Departure From Penang:
__Flight No:
__Flight Time:

9. Accommodation package needed @ US$45.00/person/night:

 
US$45.00 x
 
Person x
 
Nights =
US$
 


10. All payments in US$ should be made by bank drafts or telegraphic transfer payable to:

Account name: Penang International Dragon Boat Festival
Account No : 507059211882
Swift Code : MBBEMYKLA
Bank : Maybank KOMTAR,
Penang, Malaysia.

And sent to the Executive Secretary before 15 May 2006.

11. Team name list, Team leader’s declaration form , Photographs of participants should be submitted before 15 May 2006. Please download formats from the PIDBF website: www.penangdragonboat.com

12. Contact person:

Name:
Position:
Address:
Tel:
Fax:
Email:
Date:

13. Please send this entry form before 30 April 2006 to:

Mr. Geh Thuan Tek,
Honorary Secretary,
The 27 th Penang International Dragon Boat Festival 2006,
56 th Floor, KOMTAR,
10000 Penang, Malaysia.
Tel: 604-2620202 Fax: 604-2631020

Email (PIDBF Secretariat): secretary@penangdragonboat.com
Website: www.penangdragonboat.com