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Century Ride 2009 | Application Form

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Please download the PDF Application form for Century Ride 2009 here.

APLLICATION FORM CENTURY RIDE 2009

 

INDIVIDUAL APPLICATION

  1. Please download the PDF application forms.
  2. Fill up the form, email back to KRI Cycling, Email : This e-mail address is being protected from spambots. You need JavaScript enabled to view it
  3. Application fee RM90.00 to be paid.

Payment made to KELAB ROADRUNNERS IPOH, Am Islamic Bank, Account : 003 - 202 - 200326 - 8 . Fax the deposit slip to 05-2546719.

OR

Pay to Paypal USD25.00 to This e-mail address is being protected from spambots. You need JavaScript enabled to view it , please fill the form email section with your paypal email address for our verification purpose. Description in Paypal, include you name and contact number.

For Singapore Cyclist Payment made to Chong Him Shoong DBS Bank Sing Dollar $45.00  Account : 027022399

GROUP APPLICATION

GOOD NEWS, special discount for group entry (minimum 20 entries) will entitle for RM5.00 discount for each rider. Please follow procedure as listed below:

  1. Each applicant, please fill in the application form and email to This e-mail address is being protected from spambots. You need JavaScript enabled to view it
  2. Please fax the group member name list to 05-2546719
  3. Application fee (RM85 x number of entries), to be deposited to KELAB ROADRUNNERS IPOH, Am Islamic Bank, Account : 003 - 202 - 200326 - 8. Fax the deposit slip to 05-2546719

 

Hotel  

 A) Deluxe room @ RM 130.00 nett with (1) breakfast

B) 2 rooms apartment @ RM260.00 nett with (2) breakfasts
 
www.towerregency.com   Reservation no. 05 208 6888
 

 

Last Updated ( Thursday, 18 June 2009 23:38 )