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  • Pacesetters Track Meet Entry Form 2011

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    derpacemaker
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    The 10th Track Meet will be held on January 9th, 2011 from 7am to 9am at the Stadium Selayang for members and children under 12 of the Pacesetters Athletic Club. The entry form includes sections for competitors' details, events to be entered, and payment instructions. A RM10 entry fee can be paid via cash deposit at any RHB ATM with the account details provided, and proof of payment must be faxed or emailed. The form collects names, membership numbers, contact details, dates of birth, and events entered for tracking and organizing the meet.

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    The 10th Track Meet will be held on January 9th, 2011 from 7am to 9am at the Stadium Selayang for members and children under 12 of the Pacesetters Athletic Club. The entry form includes sections for competitors' details, events to be entered, and payment instructions. A RM10 entry fee can be paid via cash deposit at any RHB ATM with the account details provided, and proof of payment must be faxed or emailed. The form collects names, membership numbers, contact details, dates of birth, and events entered for tracking and organizing the meet.

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    Attribution Non-Commercial (BY-NC)
    Descărcați ca PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    75 vizualizări1 pagină

    Pacesetters Track Meet Entry Form 2011

    Încărcat de

    derpacemaker
    The 10th Track Meet will be held on January 9th, 2011 from 7am to 9am at the Stadium Selayang for members and children under 12 of the Pacesetters Athletic Club. The entry form includes sections for competitors' details, events to be entered, and payment instructions. A RM10 entry fee can be paid via cash deposit at any RHB ATM with the account details provided, and proof of payment must be faxed or emailed. The form collects names, membership numbers, contact details, dates of birth, and events entered for tracking and organizing the meet.

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 1

    10th Track Meet 2011

    7.00am - 9th January, 2011 @ Stadium Selayang


    For members & members' children under 12 years of age of Pacesetters Athletic Club, Malaysia

    ENTRY FORM
    COMPETITORS PARTICULARS
    Name
    Membership # Expiry Date Gender
    Date Of Birth Age Area Group
    Emai Add. Tel.
    Children who are under the age of 12 and are not members, fill in details of your parent.
    All children aged 12 and above have to be a member.
    Men & Boys Please tick box Women & Girls
    Age 50m 100m 200m 4 x 100m 4 x 400m 3000m Age
    60 & above
    50 - 59 50 & above
    40 - 49 40 - 49
    30 - 39 30 - 39
    19 - 29 19 - 29
    16 - 18 16 - 18
    13 - 15 13 - 15
    10 - 12 10 - 12
    7-9 7-9
    4-6 4-6
    Other Events Tick box Name of Relay Team
    # Under 12 Mixed Relay (4 x 100m)
    ## Family Relay (4 x 100m)
    Open Mixed Relay 200m, 400m, 600m, 800m
    Name of relay team for 4 x 100m:
    Name of relay team for 4 x 400m:
    Note
    # Mixed Relay comprise of two boys & two girls ONLY.
    ## Family Relay strictly OPEN to GENUINE family. Adopted family is prohibited.
    Entry Fee RM10
    Payment Via Cash Deposit at any RHB Cash Deposit ATM
    Account Name Pacesetters Athletic Club Malaysia
    Account Number 2-14035-1060177-8
    Photocopy of Cash Deposit Slip needs to be faxed/scanned [via email] to us with your name and phone number.
    Fax : 7981 3625 OR email : wendysoo2211@gmail.com

    For Official Use


    Cheque no Bib No.
    Cash Received RM Received by

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