Media Registration

First name *

Last name *

Gender

Date of birth

Postal address

Country

Phone number

Cell number *

Email *

T shirt size

Profession

Press card id *

Media category

Which media/broadcaster/enterprise/agency do you work for: * Company Name

Street Address

Postal Address

Phone Number

Cell Number

Email Address

Website Address

Statement of work intentions *

Services required on Race Day

I have read the terms and conditions and agree to adhere to the rules set by World Endurance South Africa *

INFOGRAPHIC: Ironman South Africa

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