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Application Form
APPLICATIONS ARE NOW CLOSED
I have read and understood
Terms and conditions
Terms_and_conditions:">
No
Yes
Team Name
*
Applying for
Select a group
Group 1 departs 17 Feb 2007 (15 days)
Group 2 departs 17 March 2007 (20 days)
Either
Principle contact
Name:
*
Street address:
*
Town:
*
County
*
Post Code
*
Country
*
Email Address (please check its correct)
*
Please ensure this email is checked regularly
Telephone number (day)
*
Telephone number (evening)
*
Secondary contact
This information is required to give them access to the on-line discussion forum
Member 2 name
Member 2 email address
About you
There are no right or wrong answers as the objective is to have a mixture of people in each group.
A brief description of yourselves ages occupations experience relevant skills etc or whatever describes you best!
*
If your application is accepted this information will be made available to other participants in the Challenge.
Why do you want to take part?
*
If your application is accepted this information will be made available to other participants in the Challenge.
I understand the challenge is unsupported
No
Yes
I understand I travel at my own risk
No
Yes
I understand my vehicle must be handed over for auction on arrival in Layounne.
No
Yes
Do not enter anything in this field:
*
indicates a required field
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