53nd INTERNATIONAL BSA RALLY ITALY
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IN LAGO DI VICO 18th - 25th JUNE 2016
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Booking form - Please write clearly
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Driver's
full name
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Phone
No.
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Address
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E-mail
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Country
(Branch)
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BSA
Bike Model + year
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Names
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Sex M/F
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T Shirt
S. M. L.XL. XXL. |
T-Shirt style M/F
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Age
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Driver
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Passenger
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Passenger
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Passenger
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Passenger
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Rally Fee
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Price NOK
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Number of persons
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Total NOK
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Rally
fee per person adult-Obligatory no refund
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750,00
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-
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€ 79,00
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750,50
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Rally
fee children 12 - under 15 years
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356,00
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-
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€ 37,50
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356,25
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Rally
fee children under 12 years
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Free
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Free
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Total
number
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-
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Accommodation
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Camping
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Price NOK
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Number of units
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Total NOK
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9,5
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Tent
or camper or caravan without electricity - 1 Night
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76,00
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-
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€ 8,00
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76,00
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Tent
or camper or caravan without electricity - 7 Night
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475,00
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-
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€ 50,00
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475,00
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Tent
or camper or caravan with electricity - 1 Night
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114,00
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-
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€ 12,00
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114,00
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Tent
or camper or caravan with electricity - 7 Nights
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712,50
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-
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€ 75,00
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712,50
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Staying
in tent or camper or caravan pr. person - 1 Night
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76,00
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-
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€ 8,00
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76,00
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Staying
in tent or camper or caravan pr. person - 7 Nights
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475,00
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-
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€ 50,00
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475,00
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Rally
fee children under 6 years
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Free
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Free
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Bungalow
for 4/5 people without bath – 1 night
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655,50
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-
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€ 69,00
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655,50
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Bungalow
for 4/5 people without bath – 7 nights
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4 275,00
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-
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€ 450,00
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4 275,00
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Bungalow
for 10 people without bath – 1 night
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1 045,00
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-
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€ 110,00
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1 045,00
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Bungalow
for 10 people without bath – 7 nights
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7 125,00
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-
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€ 750,00
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7 125,00
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One
bed in Bungalow for 10 people without bath – 1 night
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124,00
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-
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€ 13,00
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123,50
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One
bed in Bungalow for 10 people without bath – 7 nights
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810,00
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-
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€ 85,00
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807,50
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Toiletries
– 1 shower towel + 1 face towel + necessaire for hygiene
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85,50
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-
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€ 9,00
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85,50
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Breakfast
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extra
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extra
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Total
number
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-
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Residence
Hotel - 5 km from campsite
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Price NOK
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Number of units
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Total NOK
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Single
bed room 1 night
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523,00
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-
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€ 55,00
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522,50
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Single
bed room 7 nights
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3 300,00
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-
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€ 347,00
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3 296,50
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Double
bed room or small apartment - 1 night
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712,00
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-
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€ 75,00 - € 80,00
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712,50
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760
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Double
bed room or small apartment - 1 night
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760,00
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-
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Double
bed room or small apartment - 7 nights
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4 495,00
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-
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€ 473,00 - € 504,00
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4 493,50
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4788
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Double
bed room or small apartment - 7 nights
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4 788,00
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-
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Small
apartment for 3 people - 1 night
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905,00
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-
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€ 95,00
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902,50
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Small
apartment for 3 people - 7 nights
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5 700,00
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-
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€ 599,00
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5 690,50
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Small
apartment for 4 people - 1 night
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1 100,00
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-
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€ 115,00
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1 092,50
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Small
apartment for 4 people - 7 nights
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6 900,00
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-
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€ 725,00
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6 887,50
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Small
apartment for 5 people - 1 night
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1 285,00
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-
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€ 135,00
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1 282,50
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Small
apartment for 5 people - 7 nights
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8 090,00
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-
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€ 851,00
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8 084,50
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Small
apartment for 6 people - 1 night
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1 475,00
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-
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€ 155,00
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1 472,50
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Small
apartment for 6 people - 7 nights
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9 290,00
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-
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€ 977,00
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9 281,50
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Small
apartment 3 rooms for 4 people - 1 night
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1 330,00
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140
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1 330,00
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Small
apartment 3 rooms for 5 people - 1 night
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1 520,00
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160
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1 520,00
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Small
apartment 3 rooms for 6 people - 1 night
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1 710,00
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180
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1 710,00
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Small
apartment 3 rooms for 4 people - 7 nights
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8 379,00
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882
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8 379,00
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Small
apartment 3 rooms for 5 people - 7 nights
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9 576,00
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1008
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9 576,00
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Small
apartment 3 rooms for 6 people - 7 nights
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10 773,00
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1134
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10 773,00
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Italian
breakfast pr person pr day
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47,50
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-
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€ 5,00
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47,50
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Total
number
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-
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Agriturismo
- 150 mt from campsite
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Price NOK
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Number of units
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Total NOK
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€ 390,00
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3 705,00
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Small
apartment for 2 people - 7 nights
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3 705,00
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-
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€ 460,00
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4 370,00
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Small
apartment for 4 people (2+2) - 7 nights
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4 370,00
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-
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€ 700,00
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6 650,00
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Small
apartment for 6 people (2+2) - 7 nights
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6 650,00
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-
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extra
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Breakfast
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extra
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-
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Total
number
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-
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Hotel
- 500 mt from campsite
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Price NOK
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Number of units
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Total NOK
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€ 65,00
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617,50
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Single
bed room -1 night
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617,00
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-
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€ 455,00
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4 322,50
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Single
bed room - 7 nights
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4 325,00
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-
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€ 90,00
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855,00
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Double
bed room - 1 night
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855,00
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-
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€ 630,00
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5 985,00
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Double
bed room - 7 nights
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5 985,00
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-
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€ 110,00
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1 045,00
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Bed
room for 3 people (2+1) - 1 night
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1 045,00
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-
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€ 770,00
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7 315,00
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Bed
room for 3 people (2+1) - 7 nights
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7 315,00
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-
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-
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Total
number
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-
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Meals
and arrangements
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Price NOK
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Number of units
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Total NOK
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-
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Breakfast
in campsite pr person pr day
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95,00
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-
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€ 10,00
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95,00
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Monday
- Line up to Sutri (remember to specify number of persons)
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free
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free
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Tuesday
- Tour to Bomarzo - The Sacred Wood The Monster Park (XVI th century) pr
persons
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95,00
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-
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€ 10,00
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95,00
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Wednesday
- Guided bus trip to Roma pr persons
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190,00
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-
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€ 20,00
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190,00
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Wednesday
- Lucas night run pr.person
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67,00
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-
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€ 7,00
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66,50
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Thursday
Dinner & Dance adult pr persons
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390,00
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-
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€ 41,00
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389,50
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Thursday
Dinner & Dance children under 12 years pr person
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250,00
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-
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€ 26,00
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247,00
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Friday
- BBQ Camping Natura pr person without drink
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143,00
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-
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€ 15,00
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142,50
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Total
number
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-
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Total
amount
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-
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I
agree to abide by the rules of the 2016 BSA Rally
Signature
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To be
paid by deadline 15th of April 2016. For payment after this date please add
10%
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Booking
will start from January 11, 2016
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Return
Complete booking from to your local BSA Club who will collect and send to:
STUDIO AMBIENTE GREEN PROMOTION S.R.L.
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Via
R. Tacchi, 24
Phone: +39 0761 612347 (evening and weekend)
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01032
Caprarola (VT) Fax: +39
0372 431821
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ITALY
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Payment
in € only. ALL changes to be paid by sender
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Mail:
info@camping-natura.com
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campingnatura@gmail.com
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Bank
transfer to UBI BANCA SWIFT code (ISO 9362) BCABIT21
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IBAN
IT 11 O 03500 7303 000000000 3229
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