THANKS
[required-fname]
For Submitting Your Entry To The Runner's Soul
2002 Moonlight Run
[required-event]
You will receive email confirmation shortly
See you March 23/2002
(if you don't receive confirmation within a 24 hour period please email us at ranmorz@telusplanet.net)
WE SUGGEST YOU PRINT THIS PAGE & RETAIN AS RECORD OF ENTRY

Ref#: [invoice]

Last Name:

[required-llname]

First Name:

[required-fname]

Address:

[required-address]

City:

[required-city]

Prov:

[required-prov]

Postal Code:

[required-postal]

Ph:

[required-phone]

Category:

[required-event]

Liquor:

[required-liquor]

Shirt Size:

[required-liquor]

Xtra Pizza:

[pizza],[extrapizza] at $2.00 ea

Xtra Liquor:

[liquorxtra],[xtraliquor] at $2.50 ea

Total Entry

$[required-total] Charged to VISA card

Cardholder:

[required-cardholder]

Email:

[required-email]

Waiver:

[required-agree]

Race Package Pick-Up
Park Place Shopping Centre
6:00 - 9:00p.m. Friday March 22, 2002
1:00 - 6:00 p.m. Saturday, March 23rd, 2002

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