Bangor 10k Race Entry

- 27 May 2012 -

Use below to complete your entry into the Bangor 10k


Step 1 - Basic DetailsStep 2 - Race DetailsStep 3 - Additional Details


Note: * = denotes a required field



Step 1 - Basic Details
Your Title :
First / Forename(s) : *
Family / Surname : *
Your Gender : - Male      - Female *
Address : *
Address 2 :
Town : *
County : *
Postcode : *
Country : *
Telephone : *
Mobile :
Email : *
Date Of Birth : *

Step 2 - Race Details
Race Entry Fees :
1. Affiliated Runner £14.00
2. Unaffiliated Runner £16.00
Race Entry Extras :
1. Would you like to upgrade your Free Tshirt to a Tech Running Tshirt £7.00 - S - Small
- M - Medium
- L - Large
- XL - Extra Large
2. Would you like a hoody £20.00 - S - Small
- M - Medium
- L - Large
- XL - Extra Large
  (Note: Cannot be exchanged on race day)
Running club name :
UKA/WA Affiliation number :
Predicted time : :

Step 3 - Additional Details
Additional comments / special needs or medical conditions
- Keep box ticked to receive race information

Security at www.runwales.com
Insert the security code above in the text box below *