EPT BARCELONA OPEN - DIRECT BUY-INS

Please follow instructions below.

Wire €8,250 (€8,000 + 250) to:

BANK NAME: CAIXA D'ESTALVIS I PENSIONS DE BARCELONA
ACCOUNT HOLDER: Gran Casino de Barcelona, S.L.U.
ADDRESS: Avda. Diagonal , 621-629 Barcelona
IBAN: ES28-2100-0555-39-0200419554
SWIFT: CAIXESBB
WIRE TRANSFER REFERENCE: Full name + Chips Buy-in (eg "John Smith + Chips Buy-in")

• Name: Name on wire transfer reference must exactly match player's ID document*
• Commmission: Bank commission to be paid by the player.
• Deadline: Payments must be received by August 27, 2008 (please allow a minimum of 5 working days for the transaction to reach Gran Casino's bank account).

Fax: Fax a copy of the bank wire transfer to + 34 93 221 8572 (attention Sylvie Belanger)

Fill out all fields in the form below. You'll receive a confirmation e-mail; please bring it with you in order to obtain your tournament ticket.

IMPORTANT NOTES If you are a site and do not know full player names and other details, please put your site name for each seat you are reserving. The wire transfer reference should read: "YOUR SITE NAME + CHIPS BUY IN". When you know full player details, please re-send the form. For all enquiries, e-mail sylvie@grupperalada.com. Please note: participation is on personal basis, tickets are non-transferable.

For those wishing to pay in person, cash purchases are accepted until the last moment depending on availability. This event is limited to 600 players, divided between Day 1a and Day 1b. Credit card buy-ins are charged a 1.5% handling; Amex is not accepted however; US dollars are accepted at a 1.25% commission rate.

DBI REGISTRATION FORM

Event + amount: Barcelona (€8,000 + 250)

Are you an individual or a site? individual site

Name, date of birth, nationality:
Name must exactly match player's ID document


*

Name of represented site:

*

If you are a site and do not know full player names and other details, please put your site name for each seat you are reserving.

The wire transfer reference should read: EPTBarcelona + "Players Name" or "Site Name + No of seats".

When you know full player details, please re-send the form. Number of buy-ins: If more than ten, please fill out form again with additional names

*

Player 1 : Name, date of birth, nationality:



Player 2 : Name, date of birth, nationality:



Player 3 : Name, date of birth, nationality:



Player 4 : Name, date of birth, nationality:



Player 5 : Name, date of birth, nationality:



Player 6 : Name, date of birth, nationality:



Player 7 : Name, date of birth, nationality:



Player 8 : Name, date of birth, nationality:



Player 9 : Name, date of birth, nationality:



Player 10 : Name, date of birth, nationality:



Contact name:

*

Contact email

*

Contact telephone:

*

Name of wiring bank:

*

Name of payee:

*

Wire transfer reference:
EPT BARCELONA + "Players Name" or "Site Name + No of seats"
Name must exactly match player's ID document

*