The Hash House Harriers, Kuala Lumpur

3K Hash Celebration

Saturday 25th August 2001

Registration Form

Visit the Malaysian Hash Webpage : http://geocities.datacellar.net/Colosseum/Mound/8678 or

email us at klh3000@pd.jaring.my for more information

NAME :

SEX : M / F

ADDRESS :

:

 POSTCODE :

COUNTRY :

TELEPHONE :

FAX NO :

EMAIL :

NATIONALITY :

IC/PASSPORT :

HASH CHAPTER :

HASH NAME :

T SHIRT SIZE : S M L XL XXL XXXL (Circle One)
 
Registration Fees MALAYSIAN OVERSEAS
Before 30th April 2001 RM 50.00 USD 25.00
Before 30th June 2001 RM 60.00 USD 30.00
On or Before 25th August 2001

(No guarantee of Freebies)

 RM 75.00 USD 40.00

Cheques/Drafts/International Money Orders, Payable to Kuala Lumpur Hash House Harriers or KLHHH

THIS RUN IS OPEN TO ALL MALE AND FEMALE HASHERS

I understand that my consent and registration is given in consideration to participate in the concerned event. I am aware and voluntarily assume all risks that may arise from said participation. Furthermore, by my consent I indemnify The Hash House Harriers, Kuala Lumpur, it's members, any sub committees or individuals, sponsors, employees or associates from any liability related to any injury or grievous harm that may arise from my participation. In other words I will be solely responsible for myself.
 
 

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Signature Date 1