Manual Entry Goldin Leonid

Are you entering as an individual or as a club/group?: 
Individual
Your First Name: 
Leonid
Your Surname/Family Name: 
Goldin
What type of entry are you making?: 
Both (Print and PDI)
Contact Address: 
Ha-Nakis 45,
OR - AKIVA 30600
Israel
Where are you sending your entries from?: 
Rest of world
Print Return: 
I do not want any prints returned. I understand that all prints will be destroyed.
Total pdis: 
8.00