The 2010 Shenandoah Mountain 100 Backcountry Race
Harrisonburg, VA | Sept 5th, 2010
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 $140.00 must be postmarked before April 3rd, 2010
Regular registration is $160 until June 12th, 2010
Late Registration is $180 if postmarked before July 31st, 2010
Last minute registration after 9:00 PM July 31st $200 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: Day # ___________________ Evening #_________________

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

Main Sponsor ___________________________ Singlespeed ? _______