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 |
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Classic |
Short-O |
Classic |
Short-O |
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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 |