Page Created 21 April 1996 Updated 23 March 2001
Name - ____________________ - ____________________
Address - _____________________________________ __________________________________ _________________________________
Sex Male - _________ Female - ____________
Age on Race Day - ________
Event - __________________________________________
Payment Details - ________________________________
Do not send cash through the Post!!
Download this form, fill in the blank parts, and post to The Race Secretary, GPO Box 252, Canberra, ACT, 2601.
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