Pewsey Vale 10K Road Race    -    Sunday 25th May 2008, 11:00am start.

Entry Form    -    (Block Capitals)

Surname:    

Forname(s):

Address:   

Postcode:                 Telephone:

Club Name:

Age on Race Day (min 15yrs):      Date of Birth:      England Ath. Membership No.:

Male/Female:         E-mail:

At the moment I can't seem to get a 'Print' Button working, sorry. Take a look on the internet window toolbar to print the form. If not, 'Copy' the form and then 'Paste' it in a Word Programme to print the form. 

Entry Fee: £7   (£9 Unaffiliated)    (£1 extra on day)
Cheques made payable to Pewsey Vale Running Club

Enter online on: www.runnersworld.co.uk

I declare that I will abide by the UKA rules. I am medically fit to run and understand that I enter at my own risk and that the organisers will not be held responsible for any loss, damage, action, claim, injury or illness which may arise as a result of my participation. Minimum age: 15 years on race day.

Please send completed form with 9X4 SAE by 16/05/2007, plus cheque to Race Secretary:
Richard Pearce, The Old Orchard, Rudge Lane, Oare, Marlborough, Wilts SN8 4JH (Phone 01672 562412).

E-mail: pvrcrunningclub@yahoo.co.uk

Include 9x4 self-addressed stamped envelope. Closing date for postal entries: 20th May 2008

Signed: ________________________________________________            Date:____________________________