Withdrawal Form

Email: info@sydneyrunningfestival.com.au
Entry fees are non-refundable after July 31, 2020 and prior to this date we will retain 25% of the entry fee to cover
administration. All entries are non-transferable.

 I wish to withdraw from the event

First Name:.........................................................................................................................................................

Last Name: .........................................................................................................................................................

I am registered in:  Marathon  Half Marathon  Bridge Run  Family Fun Run

Bib Number (if known): .....................................................................................................................................

Email: ............................................................. ...................................................................................................

Contact number:............................................ ...................................................................................................

Credit card details: I would like you to credit/charge my:  Visa  MasterCard
Please note: Refunds can only be made to the card used to purchase the registration

Cardholders name: Rifki Safreza

Cardholders number: 4661-6012-1735-3850 Expiry date: 10/24

Cardholders signature: .............................................................................................CSV #: ..................................................................

Please note that Pont3 Sydney Running Festival will appear on the bank statement when the purchase is made. You will be notified via email once
the form has been processed. Please allow up to 10 working days to be actioned.
Office use only:

Date withdrawn from Registration System: ......... ............................................................................................................

2019 Blackmores Sydney Running Festival Withdrawal Form