Running Event Registration Form

Monday, December 17, 2012

Chap Ayam Relay Fun Run 2013

Date: 13th Janaury 2013, Sunday
Venue: Padang Merbok, Kuala Lumpur
Flag-Off Time: 7.30am
Distance: 3km x 3 person
Category:
- Men Team
- Women Team
- Mixed Team
Entry Fee: RM90 per team

Registration info:
Manual Regsitration:
Please forward entry form to:
Email: kiki_world82@yahoo.com
Fax: 03-61879792

Payment Info:
Entries fee in form of Cash and pay via:
Payee Bank: MayBank
Account No: 1143-4700-9937

Account Holder: Mohd. Zaki Bin. Mansor
*Kindly email or fax bank-in slip for confrimation purpose*

Runner Entitlement:
- Finisher Medal
- Souvenir will be awarded to top 3 team to respectively category.
- Lucky Draw

For further enquiries, kindly contact to:
Idaizumi: 012-2442771
Zaki: 012-3650304
Khairul: 016-2928801
Ramlan: 019-3325011

Cloisng Date Registration: 30th December 2012

Registration Form....

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