Running Event Registration Form

Tuesday, November 1, 2011

Penang Veteran Run 2011 - Pulau Pinang

Date: 11th December 2011, Sunday
Venue: Penang Aquatic Centre, Jalan Relau, Pulau Pinang
Race Start: 7am
Distance: 10km
Category (by age group):
Male Group: 16 - 34 years, 35 - 39 years, 40 - 44 years, 45 - 49 years, 50 - 54 years, 55- 59 years, 60 - 64 years, 65 - 69 years, 70 years & above
Female Group: 16 - 34 years, 35 - 39 years, 40 - 44 years, 45 - 49 years, 50 - 54 years, 55- 59 years, 60 - 64 years, 65 - 69 years, 70 years & above
Entry Fee: RM15

Registration Info:
Submit your entries form with entry fees to Regsitration Centres at below:
DELTA Extra Gembira Parade
18-01-01, Lorong Delima, 11600 Pulau Pinang
Mon - Fri: 10am to 9pm
Sat - Sun: 10am to 6pm
H/P: 012-4257600 Tel: 04-6560800

DELTA Bishop Street (HQ)
78 & 80, Lebuh Bishop, 10200 Pulau Pinang
Mon - Fri: 8.30am to 5.30pm
Sat - Sun: 8.30am to 1pm
H/P: 012-4738600 Tel: 04-2622600

DELTA Burma Road
203, Jalan Burma, 10050 Pulau Pinang
Mon - Fri: 8.30am to 5.30pm
Sat - Sun: 8.30am to 5pm
H/P: 017-4783888 Tel: 04-2261600

DELTA Butterworth
24, 26 & 28, Jalan Perai Jaya 3, Bandar Perai Jaya, 13600, Seberang Perai Tengah
Mon - Fri: 8.30am to 5.30pm
Sat - Sun: 8.30am to 5pm
H/P: 012-4011401 Tel: 04-3999800
* All entries should be submitted with a photostat copy their I/C's or Passport. For foreign entries for determination of age groups. Entries without the above requirments will be rejected.*

Payment Info:
Postal Entries:
M.O. / P.O./cheque:

Persatuan Athlit Veteran Pulau Pinang. c/o Persatuan Athlit Veteran Pulau Pinang,
No. 98-4-1, Jalan Thomas, 11600 Pulau Pinang


Availability Of Entry Form:
Website:
http://www.jordanleeyb.multiply.com/ / http://www.jbspenang.gov.my/ OR
Email:
phpodim@gmail.com (H/P: 016-4628292) / jordanleeyb@gmail.com (012-4746037)


Race Prize:
Winners Prize
- will be awarded to the 1st to 5th position to all category (except 16 - 34 years age group)
- will be awarded to the 1st to 10th position to all category (only for age group 16 - 34 years)
Finishing Medal: to all runners who's completed the run.
Certificates Of Completion - will be issued to all competitors at the Finish.
Lucky Draw Prizes - all participants successfully finishing the race will be entitiled to lucky draw

Closing Date Registration: 1st Decemebr 2011


Form 01......

Form 02.....

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