REGISTRATION

2nd Edition ‘’Ten million Trees ‘’ Marathon

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NAME

First

Last

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PHONE No

NEXT OF KIN (Full Name & Number)

YOUR EMAIL ADDRESS

EMERGENCY CONTACTS

YOUR ADDRESS

Address Line 1

City

State / Province / Region

Country

CLUB (if applicable)

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WHICH RACE ARE YOU RUNNING?

42KM (Marathon)
21KM (Half Marathon)
10KM and 5KM – (Fun/Family Run)
CYCLE RACE – 50KM (DIRT ROAD)

PAYMENT METHOD

Visa Card / Master Card
MPESA PAYBILL

TERMS & CONDITIONS, PRIVACY POLICY, INDEMNITY DECLARATION

I have read, understood and agree by the Terms and Conditions
I have read, understood and agree by the Privacy Policy
I have read, understood and agree by the Indemnity Declaration

Visit the Policy page to read on our:
(a) Privacy Policy
(b) Terms & Conditions
(c) Indemnity Declaration

Save and Resume Later

Go to the M-PESA Menu, Select Lipa Na M-PESA
Select Buy Goods and Services, Enter Pay Bill Number 8771442
Enter Account Number as: Full Names
Enter amount 1,500
Enter your M-PESA PIN and Confirm
After you receive the confirmation SMS,
input the Transaction Code down below and SUBMIT

Family Bank, Gateway Mall Branch
Acc Name: Lukenya University -marathon
Acc No: 039000009053
Bank Address; 74145-00200 Nairobi, Bank Code 70, Branch; 039 Swift Code; Fablkena