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Angkor Wat
International Half Marathon
(Angkor Wat, Siem Reap, Cambodia)

To register for participation in the Angkor Wat International Half Marathon on December 7, 2008, please complete the form below (* indicates required information). Online Registration will close on 14 November 2008,

The fees for the race are:

Now - 14 November 2008
Types of Race	Gender	Age	Entry Fee
Int'l Half Marathon (21 km)	Men / Women	16 / Over	US$ 50.00*
10 km Road Race	Men / Women	13 / Over	US$ 40.00
5 km Fun Run	Women Only	13 / Over	US$ 40.00
3 km Kid Race	Open	Open	US$ 25.00
21 km Wheel Chair	Men / Women	16 / Over	US$ 25.00
10 km Artificial Leg	Men / Women	16 / Over	US$ 25.00
* Note: Int'l Half Marathon runners must pay another US$ 10.00 for a timing ChampionChip®. Deposit refund and a finisher's certificate will be provided only in exchange with a timing chip after the race.

This includes:

Race registration and running number
Pre-race souvenir pack (number, t-shirt, etc.) and a timing chip for Int'l Half Marathon
Commemorative finisher's medal
Trophies for category winners

Important remarks:

Please make sure that you provide all relevant information
We only accept online payment through VISA, MasterCard or JCB.
(For Non-Credit Card Payment, please submit registration here)
The fee for the race is non-refundable!
Make sure that you have read and understand our terms and conditions

Apart from the races, we also have the "Eve Party" on December 6, 2008, please check in the form below if you would like to join.

Angkor Mondial Restaurant	Traditional Cambodian Dance

Eve Party
Date	6 December 2008
Time	19:00 - 20:30hr
Location	Angkor Mondial Restaurant, Pokambor Avenue, Wat Bo Bridge, Siem Reap, Cambodia (Tel/Fax: 855+(0)63-760-875)
Fee	US$ 17.00 (Adult) US$ 8.00 (Kid 12 yrs & under)
Includes:	Special buffet + 1 Soft drink and traditional Cambodian dance show and other finales

ONLINE REGISTRATION FORM ( Fields marked with are required )**
**PARTICIPATE IN:
I ALSO JOIN:	"Eve Party"
	Adult(s)	* =
	Kid(s)	* =
		Total Amount : US$
YELLOW CHIP CODE :
	Please fill in your yellow chip code if you have one. If not, put dash ("-") in this field. We will provide you with a chip for the race.
**FIRST NAME :
**FAMILY NAME :
**NATIONALITY :
**GENDER :
**BIRTH DATE :	- - (dd - mm - yyyy)
**AGE:	*(2008 minus Birth Year)*
**E-MAIL:
**ADDRESS:
**CITY:
STATE / PROVINCE:
**COUNTRY:
ZIP-CODE:
**T-SHIRT SIZE:
REMARKS OR ANY MEDICAL CONDITIONS:
I certify that I am medically fit to complete and fully understand that I enter at my own risk, and the organizers will in no way be held responsible for any injury, illness of loss, during or as a result of the event.

(Before you register for the race, please read our terms and conditions)