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Nederlands
Entry form 31 May-4 June 2023
Entry form weekend 31 May - 4 June 2023
Competitor data
Company name
If applicable
First
Name competitor
(Required)
First name
Surname
Address
(Required)
City
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone number
(Required)
E-mail address
(Required)
Horse (1) data
Name horse 1
(Required)
First
Competition H1
(Required)
Entry fee is excl. 9% VAT
Please select
CCIP2*-S- 205,00 €
CCI1*-Intro - 225,00 €
CCI2*-S - 235,00 €
CCI2*-L - 250,00 €
CCI3*-S - 255,00 €
CCI3*-L - 275,00 €
CCI4*-S - 295,00 €
CCI4*-L - 300,00 €
EADCMP feeLow Level H1
Price:
EADCMP fee High Level H1
Price:
Deposit backnumber H1
For each backnumber you return after the XC to the showoffice you will receive € 20,- cash back
Price:
Hidden
Number horses 1
Do you compete with a second horse?
(Required)
Yes
No
Horse (2) data
Name horse 2
(Required)
First
Competition H2
(Required)
Entry fee is excl. 9% VAT
Please select
CCIP2*-S - 190,00 € This is including the discount for a second horse or more
CCI1*-Intro - 210,00 € - This is including the discount for a second horse or more
CCI2*-S - 220,00 € - This is including the discount for a second horse or more
CCI2*-L - 235,00 € - This is including the discount for a second horse or more
CCI3*-S - 240,00 € - This is including the discount for a second horse or more
CCI3*-L - 260,00 € - This is including the discount for a second horse or more
CCI4*-S - 280,00 € - This is including the discount for a second horse or more
CCI4*-L - 285,00 € - This is including the discount for a second horse or more
EADCMP Low Level H2
Price:
EADCMP fee High Level H2
Price:
Deposit backnumber H2
For each backnumber you return after the XC to the showoffice you will receive € 20,- cash back
Price:
Hidden
Number horses 2
Do you compete with a third horse?
(Required)
Yes
No
Horse (3) data
Name horse 3
(Required)
First
Competition H3
(Required)
Entry fee is excl. 9% VAT
Please select
CCIP2*-S - 190,00 € This is including the discount for a second horse or more
CCI1*-Intro - 210,00 € - This is including the discount for a second horse or more
CCI2*-S - 220.00 € - This is including the discount for a second horse or more
CCI2*-L - 235.00 € - This is including the discount for a second horse or more
CCI3*-S - 240.00 € - This is including the discount for a second horse or more
CCI3*-L - 260.00 € - This is including the discount for a second horse or more
CCI4*-S - 280.00 € - This is including the discount for a second horse or more
CCI4*-L - 285.00 € - This is including the discount for a second horse or more
EADCMP Low Level H3
Price:
EADCMP fee High Level H3
Price:
Deposit backnumber H3
For each backnumber you return after the XC to the showoffice you will receive € 20,- cash back
Price:
Hidden
Number horses 3
Do you compete with a fourth horse?
(Required)
Yes
No
Horse (4) data
Name horse 4
(Required)
First
Competition H4
(Required)
Entry fee is excl. 9% VAT
Please select
CCIP2*-S - 190,00 € This is including the discount for a second horse or more
CCI1*-Intro - 210,00 € - This is including the discount for a second horse or more
CCI2*-S - 220,00 € - This is including the discount for a second horse or more
CCI2*-L - 235,00 € - This is including the discount for a second horse or more
CCI3*-S - 240,00 € - This is including the discount for a second horse or more
CCI3*-L - 260,00 € - This is including the discount for a second horse or more
CCI4*-S - 280,00 € - This is including the discount for a second horse or more
CCI4*-L - 285,00 € - This is including the discount for a second horse or more
EADCMP Low Level H4
Price:
EADCMP fee High Level H4
Price:
Deposit backnumber H4
For each backnumber you return after the XC to the showoffice you will receive € 20,- cash back
Price:
Hidden
Number horses 4
Do you compete with a fifth horse?
(Required)
Yes
No
Horse (5) data
Name horse 5
(Required)
First
Competition H5
(Required)
Entry fee is excl. 9% VAT
Please select
CCIP2*-S - 190,00 € This is including the discount for a second horse or more
CCI1*-Intro - 210,00 € - This is including the discount for a second horse or more
CCI2*-S - 220,00 € - This is including the discount for a second horse or more
CCI2*-L - 235,00 € - This is including the discount for a second horse or more
CCI3*-S - 240,00 € - This is including the discount for asecond horse or more
CCI3*-L - 260,00 € - This is including the discount for a second horse or more
CCI4*-S - 280,00 € - This is including the discount for a second horse or more
CCI4*-L - 285,00 € - This is including the discount for a second horse or more
EADCMP Low Level H5
Price:
EADCMP fee High Level H5
Price:
Deposit backnumber H5
For each backnumber you return after the XC to the showoffice you will receive € 20,- cash back
Price:
Hidden
Number horses 5
Do you compete with a sixth horse?
(Required)
Yes
No
Horse (6) data
Name horse 6
(Required)
First
Competition H6
(Required)
Entry fee is excl. 9% VAT
Please select
CCIP2*-S - 190,00 € This is including the discount for a second horse or more
CCI1*-Intro - 210,00 € - This is including the discount for a second horse or more
CCI2*-S - 220,00 € - This is including the discount for a second horse or more
CCI2*-L - 235,00 € - This is including the discount for a second horse or more
CCI3*-S - 240,00 € - This is including the discount for a second horse or more
CCI3*-L - 260,00 € - This is including the discount for a second horse or more
CCI4*-S - 280,00 € - This is including the discount for a second horse or more
CCI4*-L - 285,00 € - This is including the discount for a second horse or more
EADCMP Low Level H6
Price:
EADCMP fee High Level H6
Price:
Deposit backnumber H6
For each backnumber you return after the XC to the showoffice you will receive € 20,- cash back
Price:
Hidden
Number horses 6
Stables and electricity
Power supply lorry/caravan
(Required)
60 EUR excl. 21% VAT. If you don't want to reserve Power supply, please fill out '0'.
0 - No Power
1 Power supply - € 60,-
2 Power supplies - € 120,-
Stables
120,00 EUR excl. 21% VAT per stable. Automaticly calculated
Price:
0,00 €
Extra stable *Only for non-competing horse*
Quantity
120,00 EUR excl. 21% VAT per stable. Stables for competing horses are automaticly calculated.
Price:
120,00 €
Quantity
Manure disposal
15 EUR excl. 21% VAT. Required per stable.
Price:
0,00 €
Facility costs
12,50 EUR excl. 21% VAT. Required per competitor. Automaticly calculated
Price:
0,00 €
BBQ Ticket per person Thursday evening
Quantity
25 EUR incl. 9% VAT. BBQ organized by OC for everyone present.
Price:
22,94 €
Quantity
General
Comments
Subtotal entry fee & BBQ excluding 9% VAT
Subtotal stables, manure, power, facility fee excluding 21% VAT
Subtotal EADCMP 0% VAT
Subtotal deposit backnumber 0% VAT
VAT 21%
Price:
0,00 €
VAT 9%
Price:
0,00 €
Payment methode
(Required)
Ideal
Credit Card (+ 3% transaction cost)
Bancontact
Sofort
KBC/CBC Payment Button
Service costs 3%
Price:
0,00 €
Service costs 0,5%
Price:
0,00 €
Total
Agreement
(Required)
I agree on the total price
Privacy policy
(Required)
I give permission for the processing of my personal data according to the privacy policy of Outdoor Horst
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