Running Event Registration Form

Tuesday, November 20, 2012

Larian Ambang 2013

Date: 31st December 2013, Monday
Venue: Dataran Shah Alam, Selangor
Race Starting Time: 10pm
Distance: 7km
Category:
A - Men Open (18 - 40 years old)
B - Women Open (18 - 40 years old)
C - Men Junior Veteran (41 - 50 years old)
D - Men Senior Veteran (51 years old & above)
E - Women Veteran (41 years old & above)
F - School Boys (13 - 17 years old)
G - School Girls (13 - 17 years old)
H - Men Disable Open (Wheelchair)
J - Women Disable Open (Wheelchair)
K - VIP
Entry Fee:
Categories A to E = RM30
Categories F & G = RM15
Categories H to K = FREE

Registration Info:
Complete entries form and fax or email to:
Email: larianambang2013@yahoo.com
Fax: 03-6201 3841

Payment Info:
Entries fee in form of Cash and pay via:
Payee Bank: CIMB Bank
Account No: 1203-087-289-058

Account Holder: Persatuan Olahraga Daerah Klang

Race Prize:
Cash Prize:
~ Will be awarded to first 5 qualified finishers to categories A to E.
~ Will be awarded to first 3 qualified finishers to categories F & G.
Hamper: Will be awarded to first 5 qualified finishers to categories H to K.
Finisher Medal ;  For first 500 finishers to all categories.

Runners Entitlement:
- Running Event T-Shirt
- Certificate
- Lucky Draw

For further enquiries, please contact or visit to:
Mohan: 019-368 5275
Hazwan: 017-327 7357
Syukry: 019-670 9816
Official Website......

Closing Date Regsitration: 23rd December 2012

Registration Form.....
 
Event Details.....

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