EMBL 40th Anniversary - Marathon Celebrations

Please complete and return.

 
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1. I would like a complimentary EMBL 40th Anniversary running shirt.
In return, I will send EMBL a photo of me at the sporting venue (before, during or after the event), clearly showing the EMBL logo or message on the shirt.
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2. My contact information is provided below.
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3. Receipt of running shirt
4. Complimentary shirts: I'd like a:
5. Complimentary shirts: My size is:
6. Complimentary shirts: My colour preference is:
7. Complimentary shirts: I will be running in the following marathon(s), triathlon(s) or similar event(s)
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8. My relationship to EMBL:
9. Shirts for purchase: Shirts for yourself or co-runners can be ordered with a €15 donation per shirt via the Worldpay online payment link: http://tinyurl.com/EMBL-RunningShirt.
Please provide the details of the shirts you would like to purchase below, and write "EMBL running shirt" under "Reference" in your online payment.
QuantityCategorySizeColour
Shirt
Shirt
Shirt
Shirt
Shirt
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