Please
complete all the entries of the form to contest yourself the faster we could.
Send back the form with a 30% cheque order to "ecole
de surf Pura Vida" to this address: PURA VIDA SURF SHOP-Pour Christophe Ozon
32 Avenue du marensin
40550 LEON
TO COMPLETE
AND TO PRINT
name
nickname
address
town
post code
e-mail
TEL (mobil)
DATE OF BIRT
1/Which
formula do you want to try?
Formule
A
Formule
B
Formule
C
Formule
D
Formule
E
Formule
F
2/Date
of the stage
BEGINNING
THE:
20..
FINISH
THE:
20..
Becarful !!!
Contact us the day before the stage to confirm the programmation.
