home
contact us
WALK-N-SIGN REGISTRATION
I will participate in the CM7 Walk-n-Sign 5K-a-thon as follows:
Individual, Team or Family Name
First Name
Last Name
Mailing Address
City
State
Zip Code
E-mail Address
Phone
Select one
Voice
Videophone
Fax
Gender
Female
Male
Race Day Age
T-Shirt Size (Adult)
S
M
L
XL
XXL
Additional Team Members/Family Members
Team/Family Member #1
Race Day Age
T-Shirt Size (Adult)
S
M
L
XL
XXL
Team/Family Member #2
Race Day Age
T-Shirt Size (Adult)
S
M
L
XL
XXL
Team/Family Member #3
Race Day Age
T-Shirt Size (Adult)
S
M
L
XL
XXL
Team/Family Member #4
Race Day Age
T-Shirt Size (Adult)
S
M
L
XL
XXL
Team/Family Member #5
Race Day Age
T-Shirt Size (Adult)
S
M
L
XL
XXL
Team/Family Member #6
Race Day Age
T-Shirt Size (Adult)
S
M
L
XL
XXL
Payment and Credit Card Information
Type
Submitted before Aug 20
Submitted after Aug 20
Individual
$20
$25
Team/Family
$50
$60
Name on Credit Card
Credit Card Type
Select Card Type
VISA
MasterCard
American Express
Discover
Card #
Expiration Date
/
Amount to charge
$
Mark Seven Deaf Foundation, Inc ©2007
Camp Mark Seven is a wholly-owned subsidiary of Mark Seven Deaf Foundation, Inc.
144 Mohawk Hotel Road, Old Forge, NY 13420, TTY/Voice 315.357.6089
Visitors
