Vermont 100 Endurance Race July 19-20, 2008 benefitting Vermont Adaptive Ski and Sports

DINNER AND BRUNCH EXTRA TICKETS

EXTRA DINNER TICKETS FOR Friday, July 18th	$18.00 X  #_________	$__________
EXTRA BRUNCH TICKETS FOR Sunday, July 20th	$20.00 X  #_________	$_________
TOTAL AMOUNT ENCLOSED		$_________

(MAKE CHECK OUT TO Vermont 100 Endurance Race
CHECKS MUST BE RECEIVED BY July 3rd, 2008.

Please mail form and check to

Vermont 100 Endurance Race
516 Peth Rd.
Randolph, VT 05060

RUNNER'S NAME (PLEASE PRINT) _____________________________________________

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