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Northwest 10K

Road Race and Walk

Application Form

Name:

 

Address:

 

Date of Birth:

Category:

Club:

 

 

Mode of Partaking:

T-Shirt Size:

 

Signed: _____________________________ Date: __________________


Please print out the completed form, sign your name and insert the date in the space provided. Then return it along with the entry fee to: Anne Condon, Northwest 10k, Letterkenny Chamber, Grand Central Complex, Canal Road, Letterkenny, Co. Donegal.

The entry fee is €10.00 for walkers, €15 for walkers with "Chip Timing " and €15 for runners.

 


 

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