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Vermont 100 Endurance Race
July 20-21, 2013
benefitting
Vermont Adaptive Ski and Sports
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DINNER AND BRUNCH EXTRA TICKETS
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EXTRA DINNER TICKETS FOR Friday, July 19th
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$18.00 X #_________
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$__________
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EXTRA BRUNCH TICKETS FOR Sunday, July 21st
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$20.00 X #_________
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$_________
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TOTAL AMOUNT ENCLOSED
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$_________
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(MAKE CHECK OUT TO Vermont 100 Endurance Race CHECKS MUST BE RECEIVED BY July 2nd, 2013.
Please mail form and check to
RUNNER'S NAME (PLEASE PRINT) _____________________________________________
_____________________________________
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