Local Entrant Booking
Personal Information
Title*
Please select
Mr
Mrs
Ms
Miss
Dr
Prof
Firstname*
Lastname*
Email address*
Date of Birth*
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
1
2
3
4
5
6
7
8
9
10
11
12
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Your CVV number is the 3 or 4 digits on the back of your card.
Process Payment & Book
Direct Deposit – from an Australian Account
Account Name:
Travelling Fit Pty Ltd
Bank:
National Australia Bank
BSB:
082-574
Account Number:
437225093
Book