Samsung Olympic Torch Relay: Registration

Beijing 2008 Olympic Torchbearer Registration Form

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In no more than 400 words, please explain how you have risen above the obstacles of life to become a true life hero *:

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Title *

Home Address *

Family Name *

Town/City *

Given Name *

County *

Gender

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Postcode *

Date of Birth

Email Address *

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I have read and accepted the Terms & Condition of the 2008 Beijing Olympic Torch Relay competition *

I wish to be informed about new Samsung offers/products in the future

I wish to receive news about Olympic Torch Relay / Samsung Olympic Competitions

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