Run 2 Th' 'Ville 2019

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Direct Debit: NAB

BSB: 083004

A/C: 732377874

(Please add name/s & 'RunShirt' in bank description)

* All fields must be completed then click SEND Button, Thanks

A registration fee of $50.00 per person is to be paid using Account details  below when submitting this form. On the Run you will receive a Run 2 Th Ville T-shirt & Patch, or choose rego only instead of shirt size.

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* All fields must be completed then click SEND Button, Thanks

All inquiries to:

NATIONAL MEDIA & INFORMATION LIAISON

TONY SCOTT mob# : 0488 743 353