Fill in the entry form below, print and send with your cheque and stamp addressed envelope to
Tim Styles
78b Beddington Gardens
Carshalton
Surrey
SM5 3HQ
First Name:
Surname:
Gender:
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Address:
Telephone:
E-Mail:
Distance:
Please select a distance...
Car Registration:
Club Name:
Please enter me for the Gatliff Marathon. I understand that I enter at my own risk and that the organisers cannot be held responsible for any injury or loss of property during the event. Furthermore, I have read the notes on the COPSE WEB site, particularly those entitled Responsibility and Kit
Signed:
Please check before posting;
Form is signed.
Stamp addressed envelope enclosed.
Cheque signed and made out to COPSE for the correct amount.