VA RUN registration

VA RUN

Each participant per form.
Name*

First NameLast Name
Email*
Retype your Email*
Phone Number*
IC Number*
Gender*
Dat of birth*

DayMonthYear
Blood Type
Medical Condition
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Emergency Contact Name*
Emergency Phone Number*
Category*

FunRun $455KM Male Open $555KM Female Open $5510KM Male Local Under 18yr by 3.11.2024 $6510KM Female Local Under 18yr by 3.11.2024 $6510KM Male Open $6510KM Female Open $65
Event Shirt Size*
Event Shirt Sleeve Request*
Finisher Shirt Size*
Finisher Shirt Sleeve Request*
VA RUN Merchandises (You are entitle $3 OFF. Price below already discounted.)

VA Gear (Sublimations) $27VA Five Panel Cap $22Victory Scarf $12
VA Gear Shirt Size*
VA Gear Shirt Sleeve Request*
Total payment (BND)
Please calculate again the total payment. (There is no discount available)
Payment Method*

Bank Direct Transfer (BIBD or Baiduri)
Bank Direct Transfer

Please make your payment to;

Bibd 00015010025045

Baiduri 0900110521409

then upload the copy of your payment.
Card payment at VA STORE (Peak Club)

Please make your payment at Peak Club counter then upload payment receipt.
Online Payment

Click Register Now and we will email you the payment link within 30 mins.
Copy of payment*

Cancelof
Should be Empty: