Columbus Pilgrimage 10K Run March 29, 2008 ENTRY FORM Registration Information: First:________________________________________ Last:________________________________________________ Address 1:______________________________________________ Address2:_________________________________ City:________________________________________________ State:_______________ Zip:_____________________ Phone:_________________________________ E-mail:_____________________________________________________ Age Bracket 14 & Under, 15-19, 20-24, 25-29 Male:__________ Female__________ 30-34, 35-39, 40-44, 45-49, 50-54 55-59, 60-64, 65 & Over Age:___________ T-Shirt Size S M L XL Registration Fees: $17/person if post marked by March 22 $15/ person for a family of 3 or more if post marked by March 22 $20/ person on the day of the race Total Payment Enclosed:_______________________ Checks should be made payable to Golden Triangle Running & Cycling Club Payment should be mailed to: GTRCC P.O. Box 702 Columbus, MS 39703-702 *You can also register online at www.active.comHow did you hear about the run? E-mail_____ Brochure_____ Website_____ Friend_____ Other_____The race will begin at 8:00 a.m. at the Tennessee Williams Welcome Center located at 300 Main Street. Packet pick-up and registration will be held from 6:30 a.m.- 7:45 a.m. For more information please contact O. K. Bryant, Race Director(662) 327-7688 Signature:_________________________________________________________________________ Date:_______________________________________________
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