Midnight Sun Marathon : Påmelding Mørketidløp2013

Kjøre løpere,

Du kan nå melde deg på til Mørketidsløpet 2013. Vennligst fyll ut skjemaet under og velg distanse. Legg inn Spam kode og du blir overført til vår betalingsløsning. Du kan nå bruke Visa eller MasterCard for betaling.

Vi ser fram til å se deg på start strekne 5. januar 2013.

Sex *

Male
Female

Date of birth (yyyy-mm-dd) *

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Last name *

First name *

Address *

Address 2

Postcode *

City *

Country *

Nationality *

Email *

Phone home *

Phone work

Athletic club

Distance *

Estimate time (tt:mm)

Do you want us to send you an offer for hotel accommodation? If yes, please specify when your arrival and departure will be:	Yes#0.00 No#0.00
Arrivel date (dd/mm)
Departure date (dd/mm)

Payment for the Entry Fee

Your registration will NOT be valid before we have received the Entry Fee. You can pay by using your Credit Card (Visa or MasterCard). Please fill inn Anti-Spam code and go to "Submit".

Total amount: 0.00
(Click the Recalculate button to update the Total Amount)

Code

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