Semi-Marathon Marvejols-Mende July 23th 2006

Has to be sent with your Registration form
Medical certificate or Compulsory photocopy
Non-licenciés
Medical certificate Dating less than 1 year .
Non runner's Licencied
Licence's photocopy .
IAFF Licencied
Licence's photocopy .

 

 

REGISTRATION
AND ACCOMODATION

New : DVD's 2006 free ( send in autumn)

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   First fill this form, then print it  in Acrobat format Imprimez ce bulletin
  If you haven't Acrobat Reader ? download free Acrobat Reader Acrobat reader gartuit

REGISTRATION
IAFF Licencied  =  Club Number (6 digits) (2)  Licence Number (6 or 7digits) (2) 
(2) Require for IAFF licencied 
 IAFF Club     

Name    Christian Name

Birthday year Sex M F  Category Nationality
Adress
             
Zip Code Town
Country
Be careful : no registration will be taken On Sunday morning,  just before the race's start
   VERY IMPORTANT   Dossards
I'll remove my registration number in  Mende............... (1)
I'll remove my registration number in  Marvejols....... (1)

(1) Tick the corresponding compartment
Before 30/06/2006
Registration for the race
(+free DVD )
14 Euros
Past 01/07/2006 Registration for the race
(+free DVD )
16 Euros

If you don't mention a town, the registration number will be given to you in Mende until Saturday , July 23th, 21PM, and in Marvejols, the day of the race in the morning( registration numbers available from 6. 30 am till 8. 30am)

No registration will be taken into account without the enclosed regulations approval.
I have seen the regulations and I approve it , compulsory Signature after reading             Règlement                    

 
Personal statistics: Number of Participations to MARVEJOLS-MENDE :
In which years?
Your best time:
Your best time on 21 km   in                                         
To be placed with the best runners please see conditions in the brochure   		 

HEBERGEMENT

Do-you want an INDIVIDUAL SLIP ? (1) Tick the corresponding compartment Yes    No
Runner

Saturdayi = 10 Euros    

Sunday= 10 Euros

Non Participants : 16 Euros /Night

Non Participants Saturday night  

Non Participants Sunday night

(Please send separate cheques for registration and accommodation.) Order : Semi-Marathon Marvejols-Mende

YOUR WISHES
 
Near Mende..........................
Near Marvejols....................

I will come :
By Car........................
By Railway ......................
Phone : Maill :

 
Registrations for accommodation will be taken, by mail until June 30th 2004  Accommodation is limited.
After this date please phone 033 04 66 49 30 29 from 4 pm to 6 pm      Sleeping bags are not provided.

   No refunding.  

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