Page Contactez-nous LBH


	Meet the Lions Club of Brussels Heraldic

To send it by e-mail click SEND below. If you experience problems, fill in the form, print out or fax to 02 640 92 24.

Team Captain
Team Name
Street address
Postcode & City
Company Name (if the address above is not a private one)
Tel
Fax
E-mail
No of Swimmers Nombre de Nageurs Aantal Zwemmers
Lane preference (1-8)
Choose a time to swim Choisissez l'heure Gewenste tijd	9am 10am 11am 12am 1pm 2pm 3pm 4pm 5pm 6pm

When your team is ready it will help us to have full details of all swimmers -

we can then prepare your certificates and pre-registration more easily.

Could you fill in this form? Thank you

Mail to:

Terry Davidson The Communications Group

497 avenue Louise, 5th floor

1050 Bruxelles

E-mail

splash@lionsheraldic.net