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Entry Form 2012


Pay by Visa or Mastercard
Name

First
Last

Phone


Email


Address

Street Address


Suburb


City

Choose your category


Select course option
Half Ironman
Short Course

Relay Team Details (if applicable)

Team Name


Swimmer's name


Swimmer's email


Cyclist's name


Cyclist's email


Runner's name


Runner's email



NOTE By continuing, I/we agree to compete at my/our own risk, and waiver all claims against the event organiser, sponsors and landowners. I/we accept that the information gathered from this entry form will be used to administer the event and provide future information from those associated with the event. I/we accept that we have been provided with a full course description and if at any time we find course markings non-descriptive or unclear, I/we will be able to make our own way along the course described in our pre race information.

Entry Fees

Entries close 19 March 2012.

Late entries can be made at registration or on the day for an additional $20.

Individual
Before 1 September$130 per person
From 1 September$150 per person
From 1 December$180 per person
From 1 March$210 per person
 
Teams
Before 1 October$130 per team
From 1 October$150 per team
From 1 December$180 per team
From 1 March$210 per team


Short course


Individual
Before 1 September$70 per person
From 1 September$80 per person
From 1 December$90 per person
From 1 March$100 per person
 
Teams
Before 1 October$110 per team
From 1 October$120 per team
From 1 December$130 per team
From 1 March$140 per team


Please note that there is no prizemoney for the short course event.

Refund Policy


Refunds will only be given for athletes who withdraw prior to 1st February less a $20 administration fee. Athletes withdrawing after 1st February will have their entry fee credited to any other race of their choice hosted by Media Unlimited, but Media Unlimited must be notified in writing (email is fine) prior to race day.

© 2012