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August 26th, 2007

Click here for secure on-line registration

or

Fill out entry form and then print

Triathlon Elite & junior       750m/20/5 individual 60$
Triathlon 750m/20/5 individual 60$
Triathlon 750m/20/5 team 90$
Triathlon olympique       1.5km/40/10 individual 60$
Triathlon olympique       1.5km/40/10 team 90$
Duathlon 5/20/5 individual 60$
Duathlon 5/20/5 team 80$
Youth Triathlon individual 30$
Last Name:
First Name:
Address:
City:
Province :
Postal Code:
  
Country :
Phone:
 ( ) - -
Email:
Birthday :
Year   Month   Day
Age on december 31st :

  years
Sex :
 Man
Woman
T-Shirt :
Small   Medium   Large   X-Large
  *T-shirt Triathlon 1.5km/40/10 750m/20/5
  Duathlon 5/20/5
 
# 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:
Swimmer t-shirt:
Cyclist:
Cyclist t-shirt:
Runner:
Runner t-shirt:
  • 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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