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
Kangaroo Hoppet 42km
Australian Birkebeiner 21km
Joey Hoppet 7km
Age is calculated as at December 31st, 2007. (Under 18 applies to entries born in 1990 or later.)
Please enter me in:
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.
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