Naggansett Rhode island Lions Club


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Dist. 42 Rhode Island Lions

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Narragansett Lions Club PO Box 186 Narragansett RI. 02882

 Narragansett Rhode Island Lions Club Road Race
July 25, 2008
Credit Card Registration Form

Please Read below Instructions Carefully

1:Your application is not valid unless all fields are completed.
2: You must be at least 18 year old in order to use this form . If you are under 18 click here for the appropriate form. PDF format
3: Once you submit the below form  you will  asked if you would like to register another person if you are registering more than one person select this option.
4:  Once you have finished you will be asked to pay the registration/s fee and be redirected to a secured link that will allow you to use your Master Card or Visa. 
5:On Line Registration Fee , ($30.00 Per registration)
Any questions ? Race Questions           Return to Race Information

Please provide the following contact information: All fields required

This Is Registration #  Of
Last Name on the Credit card you will use ?
First Name   Choose one of the following options:
Last Name   Choose one of the following options:
Street Address   Age Group:
Mail Address If Different  Do you feel you qualify for a seeded # ?
City   If the above answer is yes, enter your estimated finish time
Runners only
 
State/Province  
Zip/Postal Code  
Home Phone
Area code no spaces Ex: 4011234567
E-mail

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