Make checks payable to Rivermiles, LLC
Mail with signed waiver(s) to:

Tandem Payments:
We have entered a Tandem Category.
Enclosed is our team check of $200 dollars.______
I paid our tandem fee via PayPal (Y/N)_____

Solo Payments:
I have entered a Solo Category.
Enclosed is my check for $110 dollars.______
I paid my solo fee by PayPal (Y/N)_____

Name________________________________________

Male______ Female______ Age at Race Date_______

Shirt Size ______________

Street____________________________________

City______________________________________

State/Province_____________________________

Country___________________________________

Zip/Postal Code____________________________

Work Phone: _______________________
Home Phone: _______________________
Cell Phone: _________________________
Fax: ______________________________
E-mail: ____________________________

I read the rules page at http://www.rivermiles.com/mr340/page11.html
and I agree. _______

Name________________________________________

Male______ Female______ Age at Race Date_______

Shirt Size ______________

Street____________________________________

City______________________________________

State/Province_____________________________

Country___________________________________

Zip/Postal Code____________________________

Work Phone: _______________________
Home Phone: _______________________
Cell Phone: _________________________
Fax: ______________________________
E-mail: ____________________________

I read the rules page at http://www.rivermiles.com/mr340/page11.html
and I agree. _______