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Application Form
Carrefour Warsaw Halfmarathon 2008
 

3rd Carrefour Warsaw Halfmarathon 2008 entry form. Please use capitals only for initial letters.

Personal info :

Name:  *
Surname: *

Sex:
 

Date of birth :
Nationality:
Club/Company: 

Adress info & other:


Street: 
Number:
Zip-code : *
City:   *
Country:     *
E-mail:
Phone:
   
T-shirt: *

Free sleeping space in a gym on the night March 29/30 (please make sure you provide your own sleeping bag and/or mattress). Click if applicable.
if Yes click


Hereby I declare to follow the regulations of 3rd Carrefour Warsaw Halfmarathon.




 

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