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August 3rd, 2008

Click here for secure on-line registration

or

Fill out entry form and then print

Triathon Super Sprint 400m/12/2 individual $50
Triathon 1/30/8 individual $60
Triathon 1/30/8 team $90
Triathon 1/2Ironman2/90/21,1 individual $110
Triathon 1/2Ironman2/90/21,1 team $140
Duathlon 5/30/5 individual $60
Duathlon 5/30/5 team $80
Duathlon PLUS 10/90/10 individual $110
Duathlon PLUS 10/90/10 team $140
TRIATHLON QUEBEC FEES INCLUDED
Last Name:
First Name:
Address:
City:
Province :
Postal Code:
  
Country :
Phone:
Email:
Birthday :
Year   Month   Day
Age on december 31st :

  years
Sex :
 Man
Woman
# Membre Triathlon Québec :
Fédération :
 
Credit card
(Visa and Mastercard):
 ---  Exp: / (MM/YY)
  + Fees 5$ Visa and Mastercard
Total:
  
 
Team Section only
Team's name:
Select a category :
Men Women Mixed
Swimmer:
Cyclist:
Runner:
  • Option 1:
    Send by fax with Visa or Mastercard # to (450) 227-3578
    (add 5$ to entry)
  • Option 2:
    Send by mail with cheque to:
    SporTriple 1139, chemin de la Paix Saint-Sauveur Qc. JOR 1R2

 
 

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