AGE Africa

Contact Information

Are you forming or joining a team?*
  • Yes, a Corporate/Work Team
  • Yes, a Family and Friends Team
  • No, I am an individual participant
Team Name or Team Member Names (if applicable):
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Additional Information

Birthday:*
Employer:

* Note: if you are joining or forming a relay team, please find two team members to join your team.

Would you like to purchase a Tri for Malawi Tri Top?*
  • Yes
  • No

Fundraising

For any individual athletes who raise a minimum of $1,000, or any relay teams that raise $2,500 together, by September 1, 2016, AGE Africa will cover the cost of your registration for the race!

*
  • Yes, I acknowledge that if I do not meet this fundraising goal by September 1, 2016, then I am responsible for separately registering myself for the Nation's Tri to participate (http://nationstri.com/).
Please indicate your fundraising goal. Please note the minimum suggested amount is $500.*

Thank You! We look forward to racing with you this year!



* Please note that once we have received your registration information, you will receive an email with details regarding your fundraising page.

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