Running Event Registration Form

Friday, July 15, 2011

KIP MTB Ride 2011 - Johor

Date: 24th July 2011, Sunday
Venue: KIP Mart Tampoi Johor
Starting Time: 8am
Distance: 40km OffRoad
Registration fees: RM40

Registration Info:
For registration, entries forms can be faxed to 607-2325577 and payment is through bank-in to:-
Payee Bank: Maybank
Account No: 1010-3938-8441
Account Holder: Amir Samsir
*Please fax to us the bank-in slip as proof of payment to:-
Fax:07-2325577
Contact:
1.) Amir Samsir: 019-7633455
2.) Azhar: 019-7100019
3.) Aizuddin: 019-6862510
For any question, please contact to:
Fax: 07-2325577 (attn: Mr. Faizol)
Contact Person:-
1. Aizuddin  : 019-6862510
2. Azhar  : 019-7100019
3. Ameer  : 019-7633455
Closing Date Registration: 17th July 2011 or upon reaching 400 participants
Registration Form....

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