Kangaroo Hoppet 11 Registration

 

To register for the 2001 Kangaroo Hoppet please e-mail your entry by filling out the following form or copy the form and then mail or fax your entry to: Kangaroo Hoppet, PO Box 400, Mt Beauty, 3699 VIC AUSTRALIA Fax: (03) 5754 4475, [int + 61 3 5754 4475]

First Name:

Surname:

Address:


Town/City:

State: Postcode:

Country:


Phone:

(may be needed to validate order)

E-mail Address

Year of Birth:


Sex:

Male Female

Nationality:


Ski Club:


Preferred Start Group:

Fast, Moderate, Casual

Estimated Time:


Fee Structure

Oct - June 30

Jul 1 - Aug 9

Aug 10 - Aug 24

Aug 25

U18

U18

U18

U18

Kangaroo Hoppet 42km

$55

-

$66

-

$66

-

$88

-

Australian Birkebeiner 21km

$33

$22

$40

$27.50

$40

$27.50

$55

$44

Joey Hoppet 7km

$22

$16.50

$22

$16.50

$22

$16.50

$33

$27.50

Age is calculated as at December 31st, 2000. (Under 18 applies to entries born in 1983 or later.)

Please enter me in:

Kangaroo Hoppet 42km Birkebeiner 21km or Joey Hoppet 7km

Please debit my

Bankcard, Mastercard or Visa

For an amount of:

Card Number:

Expires: (MMYY):

Card Holder:

Entry fees will not be refunded under any circumstances.

To clear form, click here

To send form, click here /

E-mail your entry by clicking on "Submit" or copy and complete the form and mail or fax your entry to:
Kangaroo Hoppet, Box 400, Mt Beauty, 3699 VIC, AUSTRALIA Fax: (03) 5754 4475

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