WELSH 3000s CHALLENGE
24 hour Challenge 29th May 2021
Name
*
First Name
Last Name
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
*
Medical / Emergency Contact Details
*
Please include next of kin details.
Mountain Experience and Fitness Summary
*
Event Payment
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Welsh 3000s Payment
£
190.00
Quantity
1
Total
£
0.00
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