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2008 MarkAllenOnline Triathlon Training Camp registration form |
| Check One | ||
| June 13-15 2008, Basking Ridge, NJ | ||
| N/A |
| Athlete Name | |||
| Home town, city and state | |||
| Phone | Cell | ||
| Age | Gender | ||
| A little about your camp goals | |||
| Payment Information Visa or Mastercard Only. | |||
| Card Name | |||
| Card Number | |||
| Card Expiration | |||
| Card Billing Address | |||
| City and State | |||
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Camp cost: $595.00 called in or postmarked after 20 days prior to first day of camp |
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I authorize a charge to my account. Enter amount: |
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Signature: |
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Please fax registration to (303) 474-3188 or return this completed form and a check payable to: Colorado MH LLC |
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| Luis Vargas PO Box 1500 Winter Park, CO 80482 |
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You may also fax registration and pay via phone using Visa or Mastercard at 303 974 0471 |