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PAN ASIA HASH 2024 - JOHOR MALAYSIA
GROUP REGISTRATION FORM
Hash Chapter
(Nil if not applicable)
:
*
Please enter hash chapter.
Contact Person name
:
*
Please enter your name.
No. of participants
:
*
Please enter no. of participants.
Submission Date
:
*
Please select submission date.
Email address
:
*
Please enter your email.
Please enter valid email address.
Mobile phone no
:
*
Please enter your phone no.
Pax #1
Passport / NRIC Name
:
*
Please enter name.
Hash Name
:
*
Please enter hash name.
Date of Birth
:
*
Please select date of birth.
Passport / NRIC No
:
*
Please enter passport / NRIC no.
Nationality
:
*
Please enter nationality.
Gender
:
*
Male
Female
T-Shirt Size
:
*
XS
S
M
L
XL
2XL
3XL
4XL
5XL
info
Pax #2
Passport / NRIC Name
:
*
Hash Name
:
*
Date of Birth
:
*
Passport / NRIC No
:
*
Nationality
:
*
Gender
:
*
Male
Female
T-Shirt Size
:
*
XS
S
M
L
XL
2XL
3XL
4XL
5XL
info
In case of emergency contact
Contact Person name
:
*
Please enter your name.
Mobile phone no
:
*
Please enter your phone no.
Group Registration Form
:
*
Note 1: More than 2 paxs submit using GROUP REGISTRATION FORM
Note 1: More than 30 paxs submit one more FORM completed with same Contact Person details.
Note 2: I / We hereby agree the rule of "No Children under age of 18 years old" allow to entre Event-site and Run-site.
Note 3: DISCLAIMER: In consideration of acceptance for entry in Pan Asia Hash 2024, I / We hereby waive my/our rights to any claim for injury, death and all other losses or damages that maybe sustain before, during or after the event.
Participant Registration fee
Stage
RUN FEE (inclusive Red Dress Run)
USD
RM
IDR
1
Up to 30th. September 2023
145
660
2.2M
2
Up to 31st. March 2024
165
750
2.5M
3
Up to 30th. September 2024
185
850
2.8M
T-Shirt Size
T-Shirt Size (Unisex) Chest width measurement
XS - 18" 45.7cm
L - 21" 53.3cm
3XL - 24" 61.0cm
S - 19" 48.3cm
XL - 22" 56.0cm
4XL - 25" 63.5cm
M - 20" 50.8cm
2XL - 23" 58.4cm
5XL - 26" 66.0cm
Note: Changing of T-Shirt sizes allow on written request by "Contact person" only. Deadline 15th August 2024
I / We agree to Payment On-Line using PayPal transfer total amount in Ringgit Malaysia plus 5% transfer fee charges.
I / We hereby agree the rule of "No Children under age of 18 years old" allow to entre Event-site and Run-site.
Disclaimer: In consideration of acceptance for entry in Pan Asia Hash 2024, I / We hereby waive my/our rights to any claim for injury, death and all other losses or damages that maybe sustain before, during or after the event.
Please select payment gateway.
Submit
Copyright 2024 by Pan Asia Hash
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