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Please complete and submit this registration form. A payment request will be sent to you by e-mail.
* if you are leading a team, your associates will be listed later in your entry page. ** if you are not yet a member of MidEastPan.Org, a user account will be created for you; please delete ' % username' and enter the username for your acount.
This E-mail address will be used to send you a payment request. * if you are not yet a member of MidEastPan.Org, a user account will be created for you; please delete '% useremail' and enter your contact E-mail.
Your entry unique ID Code must be in the format of: XYXY where X is a capital letter in english, i.e. A-Z and Y is a digit, i.e. 0-9 [e.g. X2E3, G6R3, I9M0, U7Z4, T3T3 etc']
Just in case :)
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