Kangaroo Hoppet 18 Registration

30 August 2008 

To register for the 2008 Kangaroo Hoppet please e-mail your entry by filling out the following form or copy the form and then mail or fax your entry to: Kangaroo Hoppet, PO Box 400, Mt Beauty, 3699 VIC AUSTRALIA Fax: (03) 5754 4475, [int + 61 3 5754 4475]


First Name:

Surname:

Address:


Town/City:

State: Postcode:

Country:


Phone:

(may be needed to validate order)

E-mail Address

Date of Birth:

dd/mm/yyyy

Sex:

Male Female

Nationality:


Ski Club:


Preferred Start Group:

Fast, Moderate, Casual

Estimated Time:


Fee Structure

Nov 1 - June 30

July 1 - Aug 15

Aug 16 - Aug 29

Aug 30

Adult

U18

Adult

U18

Adult

U18

Adult

U18

Kangaroo Hoppet 42km

$60

-

$75

-

$85

-

$95

-

Australian Birkebeiner 21km

$40

$30

$45

$35

$55

$45

$65

$55

Joey Hoppet 7km

$25

$15

$25

$15

$30

$20

$35

$25

Age is calculated as at December 31st, 2007. (Under 18 applies to entries born in 1990 or later.)

Please enter me in:

Kangaroo Hoppet 42km Birkebeiner 21km or Joey Hoppet 7km

Please debit my

Bankcard, Mastercard or Visa

For an amount of:

Card Number:

Expires: (MMYY):

Card Holder:

Entry fees will not be refunded under any circumstances.

To clear form, click here

To send form, click here /

E-mail your entry by clicking on "Submit" or copy and complete the form and mail or fax your entry to:
Kangaroo Hoppet, Box 400, Mt Beauty, 3699 VIC, AUSTRALIA Fax: (03) 5754 4475

YOU SHOULD RECEIVE AN E-MAIL CONFIRMING RECEIPT OF YOUR ENTRY WITHIN ONE WEEK

PLEASE CONTACT THE RACE OFFICE (info@hoppet.com.au)IF YOU DO NOT RECEIVE THIS E-MAIL

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