Mabac Running League

presents

The Surrey Slog

otherwise known as

The Holmbury Hill XC Half - Marathon

Sunday, 23rd July 2000. Event starts 10-00am (map)

Fees: 5.00 attached. 6.00 unattached. 1.00 surcharge for entry on the day

Medals to all finishers

SEND S.A.E. MINIMUM SIZE 9" X 5" FOR RACE NUMBER

SEAA Road Race Permit applied for.


First Name:____________________________ Surname:_____________________________________

Address:___________________________________________________________________

______________________________Post code:_____________________________________

Telephone Number:_____________________E-mail:_________________________

Date of Birth: ____/____/____ Male/Female Club:_________________________________________

CHEQUES PAYABLE TO MABAC

I declare that I will only take part in the chosen event if I am fit to run and I will not hold the organisers responsible for any loss or injury however caused.

Data protection. Your details are held on computer for our own use only and will not be passed to any third party except for publication of results. We may from time to time send you details of other events that we organise, if you do not wish to receive such details, please tick this box q

 

Signature___________________________________Date____________________________

Entries to: The Event Secretary, 10A Clifford Grove, Ashford, Middlesex, TW15 2JT
Don't forget your S.A.E.

www.mabac.org.uk E-mail MabacLeag@aol.com