South Coast Half Marathon
Sunday 9th March 2008
 
Please fill in all sections applicable & print & post this form.
       
First Name
Last Name
Address
Town
Tel Day
County
Tel Eve
Post code
Nationality
Email  
D.O.B
Sex
 Male Female
Age on 31 Dec 2008
 
   
Team or club name (if any)
T-shirt size S M L XL  
How did you get to know about this event ?
Competed previously
220 Magazine
Poster
BTA mail out
Told by a friend
Internet
   
Other (Please specify
 
Please tick if you do not wish to receive information for our future events
 
RACE SELECTION (Tick the box of the race you wish to enter)
     
South Coast Half Marathon (13.1 Miles)
£20.00
     
South Coast 10K (6.2 Miles)
£15.00
     
SouthCoast 5K & Fun Run (3.1 Miles)
£10.00
 
 
For entries received after the closing date of Friday 6th March 2008 add £5.00 late entry fee or entry will be returned
(subject to availability, this does not guarantee your entry!). No need to send S.A.E.’S.
   
PAYMENT TOTAL ENCLOSED Credit Card, Switch or cheque £
 
Card Number
- - -
Valid from date  
/
If applicable
Please consult your credit/debit card statement or bank statement for confirmation of entry.
Final details will be sent to you via email or post.
Expiry date
/
 
Issue No (switch only)
 
 
OR please make cheque/postal order payable to
“Excellent Promotions” & post to Unit 20, Cockshades Farm, Wybunbury, Cheshire, CW5 7HA
 
Would you like to compete for a charity Yes No
 

DISCLAIMER Min age 14 (5K Fun Run) 17 (½ Marathon/10K) on the 31 Dec 2008. Parents signature required for under 16. Unsigned entry forms cannot be accepted & will be returned.

I declare that I am of good health & fit to compete in this event & do so at my own risk. I will abide by the rules of the organisers & their terms & conditions. I will compete with care & attention to others. I accept that the organisers & their friends & associates are not liable for any loss, damage, claim, injury (including fatal) or expense that may arise in consequence of my participation in any of the above events.
       
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