AMA EVENTS Adventure Races

You can register for this event...

By filling out below online form
In person at Bike Zone in Amarin Plaza Bangkok (good for a 10% discount!)
or by downloading this form and filling it out

Registration form

Level:*	Extreme ( Experienced racers)	Adventure (Suitable for ..)

Category:

Team Name:

[click on the black headers to open the forms]

Team member No.1

Home addr.:
Name:*
Surname:*
Date of birth:*	Age= at raceday
Gender:*	Male Female	Nationality: *
Phone (Work):		Phone (Home):
Phone (Mobile):		Fax No.:
Email addr.**:


		Country: *
Emergency Contact:
Phone (Home):		Phone (Mobile):
Need Bike?:	<-Enter height

If you are looking for a team member click here ---->

Team member No.2

Home addr.:
Name:*
Surname:*
Date of birth:*	Age= at raceday
Gender:*	Male Female	Nationality: *
Phone (Work):		Phone (Home):
Phone (Mobile):		Fax No.:
Email addr.:


		Country: *
Emergency Contact:
Phone (Home):		Phone (Mobile):
Need Bike?:	<-Enter height.

* Required
**Required to send confirmation

Payment procedure:

By telegraphic transfer, ATM or bank deposit:
Bank name: KRUNG THAI BANK PUBLIC COMPANY LIMITED Nanglinchee Branch
A/C Name: Serge Henkens (River Kwai Trophy)
A/C no.: 260-0-01577-9
SWIFT CODE: KRTHTHBK
Please pay to our bank account WITHOUT DEDUCTING THE TRANSFER CHARGES

Please print and fill the registration form from our website
Send it back by fax or email with copy of the bank payment slip mentioning your name and the transaction number
FAX: + 66 2 7189583
Email: info@active-asia.com

By cheque:
Please print and fill the form below and send it by mail with your cheque to:

Active Management Asia Co. Ltd.
32 Seri 4 Road, Suanluang Sub-district,

Suanluang District,

Bangkok 10250 Thailand

Please make it payable to: Serge Henkens (River Kwai Trophy)

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Registration form

Team member No.1

Team member No.2