|
The
2012 Shenandoah Mountain 100 Backcountry
Race
|
|
Harrisonburg,
VA | Sept. 2nd, 2012
|
|
Deposit
for R E G I S T R A T I ON
|
Please print,
fill-out, and send this registration along with a non refundable
check made out to: Shenandoah
Mountain Touring, L.L.C.
We are accepting deposits (paid in full) on registration until our permit
with the USFS is finalized. These deposits are refundable until our permit
is approved. We will notify you when the permit is approved at which time
you will be able to request a refund if you wish. When we have the permit
we will open up registration on Active.com
- For now please print and mail
this form with a check.
Early Registration
is $150.00
must be postmarked
before March 3rd, 2012
Regular registration is $170 until April
14th, 2012
Late Registration is $190
- ONLINE ONLY - June 2nd, 2012
Last minute registration after 9:00
PM June 2nd $210 online only
No Refunds
Transfer to another person $20 - 30 days prior to event only
Transfer to another person $50 - within 30 days of the race
We do not carryover entries to another year
We are not responsible for missing drop bags
Mail to:
Shenandoah
Mountain Touring, L.L.C.
P.O. Box 1423
Harrisonburg, VA 22803
Name:_____________________________________________
Age: ________ Sex:_______ Email:__________________________
Street: _________________________________________________
City: ___________________________________ State: __________
Zip: __________________ Shirt Size:_________________________
Phone: Cell# ___________________ Home #_________________
Emerg #_________________ Master 50+? ___ Clydesdale 200lb+ ___
Main Sponsor ___________________________ Singlespeed ? _______8-26-11
|