Subsidy Form

Club members are entitled to one subsidy per year on the entry fee of a race of their own selection.

For 2010, this subsidy is limited to 50% of the entry fee with a limit of $40 per person.

To be eligible for the subsidy you must have

  • run/walked in club uniform and
  • have finished the race.
Please return this form to a Committee Member or post it to:
Hutt Valley Marathon Clinic
P.O. Box 30926,
LOWER HUTT.
Name  
Address  
Name of race for which you are claiming subsidy  
Date of Race  
Distance ran/walked  
Entry fee for the race  
Amount of subsidy  
How would you prefer payment?
Cheque

 Direct into your bank
 
If you request direct payment please supply us with your bank details so that this may be hastened:
 
Name of bank  
Bank account number  
Name of account holder  
Branch of bank  
Signature of Claimant Committee Member Signature