Running Event Registration Form

Tuesday, May 8, 2012

Century Ride Malaysia 2012 - Perak

Date: 15th July 2012, Sunday
Venue: Kinta River Front Hotel, Ipoh, Perak
Flag-Off Time: 7am
Distance: 160km
Category:
A - Men Open (18 years & above)
B - MenVeteran (age 40 to 49)
C - Men Senior Veteran (50 years & above)
D - Women Open (age 18 to 35)
E - Women Veteran (36 years & above)
Entry Fees:
Normal Rate (till 30/06/2012): RM120
Late Entry: RM150

Registration Info:
Online Registration is available.....

Manual Registration:
Please completed entries form with payment receipt / bank-in slip and faxed or email to:
Kelab Roadrunners Ipoh
Tel: 012-508 8848
Fax: 05-255 8286
Email: kricycling@gmail.com

Payment Info:
All entrie fees please make payable to:
Payee Bank: MBB
Account No: 5080-2914-2449
Account Holder: Chong Him Shoong
 
For more info, kindly contact to:
Tel: 012-508 8848 / 012-525 0748 / 012-506 8369
Fax: 05-255 8286
 
Closing Date Registration: 10th July 2012
 
Individual Registration Form.....

Group Entry Form.....

Route Map.....

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