OFFICIAL ENTRY FORM

 

Mt. Meru International Marathon Arusha, Tanzania

 

No.†††††††††††††††††

††††††††† Official use

 

Please use block letters

Surname†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† _____________

 

First Name†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† _____________

 

Nationality††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

Sex (M or F) ††††††††††††† Date of Birth †††††††††††††††††††††† ††††††††††† †††††††††††

day/month/year†††††††††††††††††††††† Official use

Address †††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ___________________________

 

Occupation ††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ___________________________

 

Number of Marathons completed †††††††††††††

 

Marathon Personal Best time H:M:S___:___:___Place __________

 

Where and When? †††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ___________________________

 

I enclose my entry fee of US. $20

 

Please make cheques or money orders. Payable to:

Mt. Meru International Marathon Arusha, Tanzania.

 

Letís have some other information that may be of interest to the local and International media.

 

 

 

 

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Thank you.

 

I declare that I am eligible to compete as defied by IAAF rules. I hereby agree that the organizers shall not be liable for any accidents, injury, fatality, loss or damage as a consequence of my participation in the Mt. Meru International Marathon.

I give permission for the free use of my name, voice or picture in any broadcast, telecast, advertising promotion or other account of this event.

 

Signature †††††††††††††††††††††††††††††† __________________††††††††††††††††††††††† Date †††††††††††††††††††††††††† ____

 

Send To:

Mount Meru International Marathon

P.O.Box 855

Arusha, Tanzania.


Telephone +255-27-2502394Fax +255-27-2502271 Mobile: +255 744 219090

e-mail rasarusha@yahoo.com