INSTRUCTIONS:

Complete on-line, submit and pay into our bank account (noting your surname as a reference)

OR

Print out the paper version of the entry form, complete and post with payment to (cheques also payable to):

Lactic Turkey Events,

PO Box 60-540,          

Titirangi,          

Auckland 0642

* Mandatory fields

Team Captain E-mail*
Team Captain Name*
Team Captain Age
Team Captain Address
Team Captain Phone
 
Team Name*
     
Name
Age
Email
Team Person 2
Team Person 3
Team Person 4
Team Person 5
   
Category (choose one) *

Mens Open Womens Open Mixed Open Walkers Corporate

School Solo Man Solo Woman

 
How did you hear about the event?*

 

Team Entry Fee @ $45 per person
Solo Entry Fee @ $70
Late entry/on the day entry

 

Method of payment*

 

Cheque

Direct into bank account (Please pay into our Kiwi Bank account called "Lactic Turkey Events Limited" Account Number 38-9005-0018737-00 )

Card Card - you'll have a chance to pay by credit card on the next screen once you have submitted this entry info

 
Reference Entered for Payment (otherwise we'll not know who paid)
Date paid into our account
Subscribe

POSTAL ENTRIES CLOSE 10 FEBRUARY 2009 OR ON-LINE ENTRIES ON 13 FEBRUARY - late entry fee applies after this date

Confirmation of entry will be emailed on receipt of payment.

Declaration you will be required to sign at registration - I declare that I have fully read and understand the rules and conditions of the Moro Madness Multi Lap Relay. I attest that I am fully aware of the risks and hazards involved in participating in this event and I understand that participation in the event is at my/our own risk. In consideration of the acceptance of my entry fee, I do hereby on behalf of my heirs, executors, administrators and assignees release and forever discharge the sponsors of, landowners and any and all persons involved in the conduct of the Moro Madness Multi Lap Relay from any and all liability whatsoever or claims of damages or actions whatsoever (including negligence) in any manner arising out of my participation in the Moro Madness Multi Lap Relay. I agree that Lactic Turkey Events and any sponsor of this event may use information contained in this form for purposes connected with the event, and to provide details of other products, services and events to me from time to time. I understand that I have rights under the Privacy Act 1993 to access and correct any information held about me.

Refund Policy - Refunds will be given at the discretion of Lactic Tukey Events. Entries cancelled greater than two weeks before an event will receive a full refund. Entries cancelled within two weeks of the event can be used as a credit for another Lactic Turkey event or can be refunded less a $10 administration charge. No refunds will be given for cancellations within 48 hours of the event day. Refunds will be paid direct into a bank account as nominated by the participant.