Run the Paris Marathon 2012 for Get Kids Going!
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PARIS MARATHON 2012

Sunday 15th APRIL 2012

Online Entry Form

  
 
 
Runner's Details
*First Name
*Last Name
*Sex
*Date of Birth
(DD/MM/YYYY)
Must be 20yrs+ on race day		 * Age
*Home Address
*City/Town
*Post Code
*Telephone
*Mobile
*E-mail Address
*Nationality
*Predicted Time
 : :
Hrs         Mins         Sec
Work Details
Work Place Name
Occupation
Work Address
City/Town
Telephone
Fax


Company Website

*Tshirt size
*  I Pledge to raise for disabled children   
(min.donation accepted £150 or more, please state amount)		 £ 
   My Company/workplace will match or contribute to the amount raised
   If yes please indicate what amount you think your company/workplace will kindly contribute. £ 


* Full name as stated on credit/debit card
Your Guaranteed Entry Fee of £85 will be taken at the next stage via Paypal.
We accept all major credit and debit cards.

*Required Fields