Please print, fill-out, and send this registration along with a non refundable
check made out to: Shenandoah Mountain Touring, L.L.C.

Registration is now open and online at Active.com - or you can print and
mail this form with a check.

Early Registration is $135.00 must be postmarked before May 31st, 2009
Regular registration is $155 until August, 2nd, 2009
Late Registration is $175 and will be ONLINE via ACTIVE.COM ONLY
Last minute registration after 7:00 PM Sept 2nd $200 online only

No Refunds
Transfer to another person $20 - 20 days prior to event only
Transfer to another person $50 - within 20 days of the race
We do not carryover entries to another year

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: Day # ___________________ Evening #_________________

Emerg #_________________ Master 50+? ___ Clydesdale 200lb+ ___

Main Sponsor ___________________________ Singlespeed ? _______