indoresupercharger@gmail.com
1 South Tukoganj , Sardar Patel Marg, Indore
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Registration
Participant Information
Full Name
*
Date of Birth
*
Email Address
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Confirm Email Address
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Phone Number
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Emergency Contact Name
*
Emergency Contact Number
*
Category Selection
Select Your Category - Time Slot
*
1 Hour Untimed - Rs. 299/-
1 Hour Timed - Rs. 599/-
2 Hour - Rs. 599/-
3 Hour - Rs. 999/-
4 Hour - Rs. 999/-
6 Hour - Rs. 1999/- (T-shirt Included)
12 Hour - Rs. 3499/- (T-shirt Included)
100K - Rs. 4499/- (T-shirt Included)
T-shirt Add-on (For 1,2,3,4 Hr Categories only)
Yes, add a T-shirt (Rs. 500/-)
T-shirt Size Options
Select size
XS - Chest Size 34 Inch
S - Chest Size 37 Inch
M - Chest Size 40 Inch
L - Chest Size 43 Inch
XL - Chest Size 45 Inch
XXL - Chest Size 49 Inch
Participant Confirmation
Date
*
Form No. (Receipt Section)
Date
*
Received From
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Category Registered For
*
Time Slot
*
Base Category Fee (Rs.)
*
T-shirt Charge (Rs.)
Total Amount (Rs.)
*
Payment Method
*
Cash
Online Transfer
Card
Received By (Staff Name/Signature)
*
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