TravellingFit

Local Entrant Booking

Personal Information

Title*

Firstname*

Lastname*

Email address*

Date of Birth*

Day

Month

Year

Phone*

Gender*

Male Female

Address*

Event

Marathon

$175

Half Marathon

$140

11km Fun Run

$85

6km Fun Run

$75

Please Note:

Entries MUST be collected in person between 4pm and 5pm on Friday 28 July at the Town Square park
Proof of residency MUST be provided when collecting your race entry
All entrants are required to attend the mandatory race briefing at 5pm on Friday 28 July on the grass near the Town Square

I have read and agreed to the Terms and Conditions and Exclusion of Liability

Please choose a payment method

Credit Card Direct Debit

Payment Amount

Plus credit card bank fee

Payment Amount

Payment Amount with fee

Enter Credit Card Details

VISA

Mastercard

AMEX

Diners

Cardholders Name

Card Number

Expiry Date (mm/yyyy)

CVV

Your CVV number is the 3 or 4 digits on the back of your card.

Direct Deposit – from an Australian Account

Account Name:

Travelling Fit Pty Ltd

Bank:

National Australia Bank

BSB:

082-574

Account Number:

437225093