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Aussie Nash Hash 2013
Brisbane May 4th 5th Long Weekend

Registration

ONLINE REGISTRATION
NOT WORKING TRY IN A WEEK OR 2  
You will need to down load the pdf fill in the
form for now

Having problems registering online?
See
FAQ for possible solutions


  * denotes required field
FAMILY NAME*
GIVEN NAME(S)*
DATE OF BIRTH (dd/mm/yy)*
SEX*

HASH NAME*
HOME HASH*

(please dont put something like BH3
there are 37 BH3,"s around the world)
ADDRESS LINE 1*
ADDRESS LINE 2
SUBURB*
STATE*
POSTCODE*
COUNTRY (if not Australia)
PHONE*
E-MAIL
EMERGENCY CONTACT (name)
CONTACT DETAILS
PREFERRED RUN LENGTH*




T-SHIRT SIZE*





PREFERRED BEVERAGE







PREFERRED TUCKER*


Other food details
PREVIOUS NASH HASHES ATTENDED












REGISTRATION FEES*

$350 Keen Hasher Paid beforer 30/6/12
$475 Late Comer   Paid before   31/12/12
$525 Slack bastard Paid after 31/12/12
Anyone registering after 31 December September 2012 is not guaranteed to get all commemorative items

RED DRESS RUN
PAYMENT METHOD*
(see web page for details)



If you are registering with a transfer, click either of the above


I declare that I assume all risks that may arise from my participation in Aussie Nash Hash 2013. By submitting this online registration I indemnify Aussie Nash Hash 2013 Inc., its members and any sub-committees or individuals, sponsors, employees or associates from any liability related to any injury or grievous harm that may arise as a result of my participation in Aussie Nash Hash 2013 or any of its associated events.
DISCLAIMER*
(read above)


Privacy:
Aussie Nash Hash 2013 Inc. is not bound by the Privacy Act 1988, but does endeavour to adhere to National Privacy Principles. Personal information collected on this form will be offered to the next host for the purpose of organising Aussie Nash Hash 2015, however individuals may opt out by advising Aussie Nash Hash 2015 Inc. of their desire to do so in writing.