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Event Registration – RRS

EVENT REGISTRATION Printable Form

Welcome to the TOUR DE PUMPKIN

Please complete the event registration form below or if available print registration form and follow the instructions on the form for sign up.

First Name

Last Name

male

female

Phone Number

Cell Phone Number

Email Address

Age on Race Day

T-Shirt Size All choices have reached their entry limit

Street Address

City

Zip Code

Add a Person

First Name

Last Name

male

female

Phone Number

Cell Phone Number

Email Address

Age on Race Day

T-Shirt Size All choices have reached their entry limit

Address

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

TOTAL: $0.00

Payment

Billing Address

Billing City

Billing State

Zip Code

If you are human, leave this field blank.

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