Roding Valley Half Marathon - 26 Feb 2012 Entry Form

Roding Valley Half Marathon - Postal entry

You can print this form and fill in for an on the day entry.

Entry fees: £17 (affiliated club runner), £19 (unattached) - these are £2 more than the online entries.

Please make cheques payable to "Woodford Green AC"

Please print this page, fill in the details and return to:

RVHM

Beech Farm Barn

High Road

Loughton

Essex IG10 4JJ

Name:_____________________________________________

Sex (M/F)___________ Age on race day (26/2/12)_________

Club (or unattached)_________________________________

Address:___________________________________________

__________________________________________________

e-mail:_____________________________________________

Please enter me for the Roding Valley Half Marathon. I understand that I participate at my own risk

and that I have read the Terms and Conditions on the race website and agree to abide by these.

Signed______________________________________________