changing competitions from half marathon

Application for 2016 change of competitions
Half marathon → marathon
Marathon → half marathon
Procedure
1. Please fill in this form completely and digitally, sign it and revert it via post, fax or email (scanned) prior to
September 1, 2016 at the latest (date stamp).
2. You will find your new bib number shortly after the change of competitions in the starters' list on our web site.
3. The handling fee (10,00 €) will be charged optionally via S€PA direct debit from the account mentioned below or
via credit card. When changing competitions from half marathon to marathon also the remaining amount of the
entry fee will be charged. Please find the corresponding remaining amount in the table below. Most relevant is
the entry fee at the time of changing competitions to the date of the original registration.
Last name *
First name *
Bib number *
Date of birth *
IBAN *
BIC *
credit card number *
owner of credit card *
valid through *
Half marathon → marathon
€10.00
Marathon → half marathon
€10.00
handling fee
handling fee
remaining amount from half marathon to marathon entry fee
€10.00
total amount in €
€10.00
total amount in €
I herewith authorise Mika timing GmbH on behalf of Köln Marathon Veranstaltungs- und Werbe GmbH to send instructions to
my bank to debit my account and my bank to debit my account or credit card in accordance with the instructions from Mika
timing GmbH. *
Date*
Signature *
* mandatory fields
Additional costs for changing to the Marathon
change
change
change
entry fee
I registered on
until March until June until Sep 1,
1/2marathon
31, 2016
30, 2016
2016
Nov 25 to Dec 31, 2015
44,00€
+31,00€
+36,00€
+41,00€
Jan 1 to Mar 31, 2016
48,00€
+27,00€
+32,00€
+37,00€
Apr 1 to Jun 30, 2016
52,00€
--+28,00€
+33,00€
Jul 1 to Sep 1, 2016
56,00€
----+29,00€
Please find further details on the change of competitions in the Conditions of participation at §3 (10), www.cologne-marathon.com/legal.
Köln Marathon Veranstaltungs- und Werbe GmbH | Peter-Günther-Weg | Sportpark Müngersdorf
50933 Cologne | Germany | Fax: 0221 / 33 77 73 11 | [email protected]

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