Running Event Registration Form

Sunday, July 3, 2011

10km Veterans Run 2011 - Pulau Pinang

Date: 17th July 2011, Sunday
Venue: Penang Aquatic Centre,  Bayan Baru, Penang
Flag-Off Time: 7:00am
Distance: 10km
Category:
- Male Open (classified into 9 group)
- Female Open (classified into 9 group)
Entry Fee: RM15

Race Prize:
Medal: Issued to all competitor who finish the rce succesfully.
Certificate: issue to all competitor who finish the race sucessfully.
Lucky Draw.

Registration Info:
please submit your entries form with payment to registration center at:-
1.) DELTA Extra Gembira Parade
18-01-01, Lorong Delima 1,
11600, Pulau Pinang,.
H/P: 012-425 7600  Tel: 04-658 0800
Mon - Fri: 10am - 9pm  Sat - Sun: 10am - 6pm

2.) DELTA Bishop Street (HQ)
78 & 80, Lebuh Bishop,
10200, Pulau Pinang
H/P: 012-473 8600  Tel: 04-262 2600
Mon - Fri: 8.30am - 5.30pm Sat - Sun: 8.30am - 1pm

3.) DELTA Burmah Road
203, Jalan Burma,
10500, Pulau Pinang
H/P: 017-478 3888 Tel: 04-226 1600
Mon - Fri: 8.30am - 5.30pm Sat - Sun: 8.30am - 5pm

4.) DELTA Butterworth
24, 26 & 28, Jalan Perai Jaya 3,
Bandar Perai Jaya,
13600, Seberang Perai Tengah,
H/P: 012-401 1401 Tel: 04-399 9800
Mon - Fri: 8.30am - 5.30pm Sat - Sun: 8.30am - 5pm

or mail your entries via postal to:
PERSATUAN ATHLIT VETERAN PULAU PINANG
No. 98-4-1, Jalan Thomas,
Bukit Dumbar, 11700 Pulau Pinang
*All runners should be submitted with a photocopy of their IC or Passport for foreigner entries for determinnation of age group.*

Payment Info:
M.O / P.O / Cheque payable to:-
" PERSATUAN ATHLIT VETERAN PULAU PINANG"

Registration is availability at:
Website:
- http://www.jordanlee.multiply.com/
- http://www.jbspenang.gov.my/
Email:
- phoodlm@gmail.com / HP: 016-462 8292
- jordanlee@gmail.com / HP:012-474 6037

 Closing Date: 8th July 2011
Registartion Form.....

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