REGISTRATION FORM

Telecom Vanuatu Round Island Relay 2002

10 runners per Team. Entry Fee: USD 100

Categories:         A. Open Male    B. Open Female    C. Mixed    D. Senior School/College    E. Corporate    F. Masters (40 years+). G. Services (Army/Police...) H. Late entry/ individuals

Note: in case of Categories D & E all team members must be registered students of the institution or employees of corporation they are representing.

MANAGER:
Category Entered::	A B C D E F G H
Contact  address:
COUNTRY:
Phone No.
Fax No.
E-mail

PAYMENT:

Select below:

Bank Draft VISA card Mastercard Amex card     Bank Draft for USD 100 payable to Round Island relay OR Credit Card

                    ( VISA, Mastercard, Amex). Please contact me for the payment by credit card.

 

Telecom Vanuatu Round Island relay, Vanuatu National Tourism Office. P.O. Box 209 Port-Vila Vanuatu. Fax: +678.23889 Email: trade@vanuatu.com.vu

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