| Name : |
| Contact Phone Number : |
| Email Address : |
| Which Race do you wish to enter ? : |
| Race Category : |
| Payment Method : |
| Electronic Funds Transfer (EFT) details : Gravity Fitness Consultants Business Cheque Acc BSB No. 082-330 Account Number 45-321-2129 |
| Cheques are to be made payable to "Gravity Fitness" and sent to : 10 Wagner Place Seven Hills NSW 2147 |
| Comments / Questions : |
| NOTE : With some browsers you may have to use the "Tab" key and "Arrow" keys to move around this form. You may also notice that some of the boxes do not line up correctly. However, the form is still usable and the information still gets through. |
| GRAVITY FITNESS ONLINE RACE ENTRY FORM |
| Entry Fees (Pre-paid online) : Race 1 - Individuals $40 Teams $30 per person Race 2 - Individuals $40 Teams $30 per person Race 3 - Individuals $40 Teams $30 per person Race 4 - Individuals $50 Teams $40 per person Race 5 - Individuals $40 Teams $30 per person Race 6 - Individuals $40 Teams $30 per person Race 7 - Individuals $40 Teams $30 per person Race 8 - Individuals $50 Teams $40 per person Competitors entering on the day of the race will be charged a $5 Late Entry Fee. |
| Total Cost : |
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