Registration form

THE LA GARDE SHELLS SHOW

REGISTRATION FORM

NAME :

Surname:

ADRESS:

TELEPHONE/FAX :

E mail :

I book........ tables at 20 € each price
(Payment will be made when in the show room ).

I agree with the attached regulation I have read .
Signature (mandatory) :

To be sent before february 1rst 2019 to :

Jean Marie COLIN

108, allée de l'Orée
83130 LA GARDE
04 94 21 16 76