Entry form The bank details for the transfer are: ljghljgòojdsbòjhàosdòjbòojbdsj All fields marked * are required First Name* Last Name* Gender* MaleFemale Date of birth* Nationality* ---ITALIASAN MARINOAUSTRIAFRANCIAGERMANYHUNGARYROMANIASWITZERLANDUNITED KINGDOMAFGHANISTANALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTIGUA AND BARBUDAARGENTINIAARMENIAARUBAAUSTRALIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA HERCEGOVINABOTSWANABRAZILBRUNEI DARUSSALAMBULGARIABURKINA FASOBURMABURUNDICAMEROONCANADACAPE VERDECATALUNYACAYMAN ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACOLOMBIACOMOROSCONGOCOOK ISLANDSCOSTA RICACOTE D'IVOIRECROATIACUBACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINAERITREAESTONIAETHOPIAFIJIFINLANDFRENCH POLYNESIAGABONGAMBIAGEORGIAGHANAGIBRALTARGREECEGRENADAGUAMGUATEMALAGUINEAGUINEA-BISSAUGUYANAHAITIHONDURASHONG KONGICELANDINDIAINDONESIAIRAN (ISLAMIC REPUBLIC OF)IRAQIRELANDISRAELJAMAICAJAPANJORDANKAZAKHSTANKENYAKOREA, DEMOCRATIC PEOPLE'S REPUBLIC OFKOREA, REPUBLIC OFKUWAITKYRGYZSTANLAO PEOPLE'S DEMOCRATIC REPUBLICLATVIALEBANONLESOTHOLIBERIALIBYAN ARAB JAMAHIRIYALIECHTENSTEINLITHUANIALUXEMBOURGMACAUMACEDONIAMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMAURITANIAMAURITIUSMEXICOMOLDOVA, REPUBLIC OFMONACOMONGOLIAMONTSERRATMOROCCOMOZAMBIQUEMYANMARN/ANAMIBIANAURUNEPALNETHERLANDSNETHERLANDS ANTILLESNEW ZEALANDNICARAGUANIGERNIGERIANORTHERN MARIANA ISLANDSNORWAYOMANPAKISTANPALESTINAPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPOLANDPORTUGALPUERTO RICOQATARRUSSIAN FEDERATIONRWANDASAINT KITTS AND NEVISSAINT LUCIASAINT VINCENT AND THE GRENADINESSAMOASAO TOME AND PRINCIPESAUDI ARABIASEACHELLESSENEGALSERBIASIERRA LEONESINGAPORESLOVAKIASLOVENIASOLOMON ISLANDSSOMLALIASOUTH AFRICASPAINSRI LANKASUDANSURINAMESWAZILANDSWEDENSYRIEN ARAB REPUBLICTAIWANTAJIKISTANTANZANIA, UNITED REPUBLIC OFTHAILANDTOGOTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSUGANDAUKRAINEUNITED ARAB EMIRATESUNITED STATESURUGAYUZBEKISTANVANUATUVENEZUELAVIET NAMEVIRGIN ISLANDS (BRITISH)VIRGIN ISLANDS (U.S.)YEMEN, REPUBLIC OFZAIREZAMBIAZIMBABWE Card number* Team name Address* City* Zip code* Province ---AGALANAOAQARAPATAVBABTBLBNBGBIBOBZBSBRCACLCBCECTCZCHCOCSCRKRCNENFMFEFIFGFCFRGEGOGRIMISSPLTLELCLILOLUMCMNMSMTMEMIMOMBNANONUOTORPDPAPRPVPGPUPEPCPIPTPNPZPORGRARCRERIRNRMROSASSSVSISRSOTATETRTOTPTNTVTSUDVAVEVBVCVRVVVIVT Country* ---ITALIASAN MARINOAUSTRIAFRANCIAGERMANYHUNGARYROMANIASWITZERLANDUNITED KINGDOMAFGHANISTANALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTIGUA AND BARBUDAARGENTINIAARMENIAARUBAAUSTRALIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA HERCEGOVINABOTSWANABRAZILBRUNEI DARUSSALAMBULGARIABURKINA FASOBURMABURUNDICAMEROONCANADACAPE VERDECATALUNYACAYMAN ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACOLOMBIACOMOROSCONGOCOOK ISLANDSCOSTA RICACOTE D'IVOIRECROATIACUBACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINAERITREAESTONIAETHOPIAFIJIFINLANDFRENCH POLYNESIAGABONGAMBIAGEORGIAGHANAGIBRALTARGREECEGRENADAGUAMGUATEMALAGUINEAGUINEA-BISSAUGUYANAHAITIHONDURASHONG KONGICELANDINDIAINDONESIAIRAN (ISLAMIC REPUBLIC OF)IRAQIRELANDISRAELJAMAICAJAPANJORDANKAZAKHSTANKENYAKOREA, DEMOCRATIC PEOPLE'S REPUBLIC OFKOREA, REPUBLIC OFKUWAITKYRGYZSTANLAO PEOPLE'S DEMOCRATIC REPUBLICLATVIALEBANONLESOTHOLIBERIALIBYAN ARAB JAMAHIRIYALIECHTENSTEINLITHUANIALUXEMBOURGMACAUMACEDONIAMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMAURITANIAMAURITIUSMEXICOMOLDOVA, REPUBLIC OFMONACOMONGOLIAMONTSERRATMOROCCOMOZAMBIQUEMYANMARN/ANAMIBIANAURUNEPALNETHERLANDSNETHERLANDS ANTILLESNEW ZEALANDNICARAGUANIGERNIGERIANORTHERN MARIANA ISLANDSNORWAYOMANPAKISTANPALESTINAPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPOLANDPORTUGALPUERTO RICOQATARRUSSIAN FEDERATIONRWANDASAINT KITTS AND NEVISSAINT LUCIASAINT VINCENT AND THE GRENADINESSAMOASAO TOME AND PRINCIPESAUDI ARABIASEACHELLESSENEGALSERBIASIERRA LEONESINGAPORESLOVAKIASLOVENIASOLOMON ISLANDSSOMLALIASOUTH AFRICASPAINSRI LANKASUDANSURINAMESWAZILANDSWEDENSYRIEN ARAB REPUBLICTAIWANTAJIKISTANTANZANIA, UNITED REPUBLIC OFTHAILANDTOGOTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSUGANDAUKRAINEUNITED ARAB EMIRATESUNITED STATESURUGAYUZBEKISTANVANUATUVENEZUELAVIET NAMEVIRGIN ISLANDS (BRITISH)VIRGIN ISLANDS (U.S.)YEMEN, REPUBLIC OFZAIREZAMBIAZIMBABWE Phone number* Mobile* Your Email* Additional information Δ