Entry form - AOA Championships  7/8 October 2000

 

Contact Name_____________________________________________       Home phone number_____________________

Address_________________________________________________

________________________________________________________       I will use the website for the programme       o ü

________________________________________________________       I will use the website for the results               o ü

________________________________________________________

Email____________________________________________________

Start time requests (for those with young children only)____________________________________________________

Last name

First name

Club

Birth year

Class

Entry Fees

Classic

Short-O

Classic

Short-O

Total $

Send Entries to: Rolf Wagner Please make cheques payable to:
P O Box 76 North West Orienteering Club
Red Beach   1330
Ph 09 427 8524 Closing Date for entries:
rolfw@xtra.co.nz postmarked no later than Friday 22 September