DIRTY DOZEN & THE FROZEN SIX |
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Pre-Registration must be postmarked no later than January 19, 2008 to receive discounted entry fee & T-Shirt. Mail Registration and Non-Refundable Race Fees (Check or Money Order) to
Terra Firma Promotions, LLC Please circle a CATEGORY: DIRTY DOZEN 12 HOUR RACE: $75.00 per rider pre-registration / $85.00 per rider race day registration
5 person 4 Open 4 Female 4 Masters 2 Male 2 Female 2 Coed Solo female Solo male sport Solo male expert FROZEN SIX (6) HOUR RACE: $55.00 per rider pre-registration / $65.00 per rider race day registration 2 Open Solo Female Solo Male Team Name:______________________________________________________ Team Captain Name:_______________________________________________ Address:_________________________________________________________ City:__________________________ State:_____________ Zip:___________Email______________________________________________ Home Phone:______________________________________________ Cell Phone:______________________________________________
Ages on 12/31/2008:(1)_____ (2)_____ (3)_____ (4)______ (5)_______
T-Shirt Sizes:(S,M,L,XL,XXL)_________________________________________
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| [ Terra Firma ] [ Dirty Dozen] |
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