Print off this form and send to address at bottom of the page
Race Over the Glens
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Entry fee £6.00 £7.00 att /unatt , Entries on day £7.00 / £8.00
Surname:   First Name:
  Date of Birth:   Age on Race Day:   Sex:
  First Claim Club:   NIAF Att: Yes/No
  Address:
  Town:
  County:   Postcode:
  Contact Telephone Number (Including Dialling Code):
e-mail address -
  Declaration: I agree to bide by NIAF rules, and declare that I am entering this event entirely
  at my own risk and will not run on the day unless fit to do so.
  I enclose  a cheque (payable to Ballymena Runners) to the value of: £
  Signed:   Date:

Please forward this entry form to Stephen Armstrong, 39 Loughan hill, Ballymena, Co Antrim, N Ireland BT43 5LR.

02825652712 (h) 07821 097329 (m)