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PARIS MARATHON 2010

Sunday 11th APRIL 2010

Online Entry Form

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


Company Website

*Tshirt size
*  I Pledge to raise for disabled children   (Please state amount. Minimum pledge £100) £ 
   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 £125 will be taken at the next stage via Paypal.
We accept all major credit and debit cards.



NOTE THAT ONLY ENTRIES FROM RUNNERS FROM THE UK, FRANCE, IRELAND, CHANNEL ISLANDS AND THE ISLE OF MAN WILL BE ACCEPTED.

*Required Fields