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12 the markham economist sun saturday april 3 2004 cms m onyommarkgetsetforthe 2004 legacy runorwalk in support of markham stouflville hospital sunday april 25th register early by april 16th and only pay 25 for your registration fee the first 1500 participants will receive an event long sleeved tshirt collect pledges and earn fabulous brooks merchandise entry form pledge form event information please complete one entry form per individual last name team or school name address first name d d d city ctf postal code phone male female age years participated foital code i email address please print clearly to enable the msh foundation to provide receipts for amounts of 20 or more d male female age age required to be eligible for prizes team or school category team name school name registration fees no refunds will be issued prior to april 16th 25 adults waived if 100 or more in pledges is submitted by april 16 adult fee indudes event shirt race kit and registration 200 team entry fee waived if s0o or more in pledges is submitted by april 16 see team challenge flyer for details iimemaasaamlirj school students 20 or more in pledges indudes event shirt race kit and registration under 20 in pledges minimum of 5 includes registration only registration indudes race bib timing chip lunch and eligibility for prizes and draws after april 16th 30 adults 20 student registration fee o d d d payment method amex visa mc oh deque payable to markham stouffvirie hospital foundation card nameoncard expiry date m signature miuuamciwiixmuisiioiotwni mfwmtmtfr cssmwlciiafarr t bfwiiiranawwwukmaattorylpwclmjwijv ciwsllwkm8yracatfat aicwrsorynjfvra rfol lkrijw to mo 10mnissuacrfi t0navxr3frmuoivkltwije irty nwiwioflimmrisnwiim r i rr tw sponsors name address oty postal code phonel s pledged cash cheq receipt reqd john smith sample 1 legacy drive markham i up 1b2 905 55s5555 3000 total s collected fundraisers signature date this form may be photocopied please note pledges cannot be submitted via online registration visit our website at wwwlegacyskca for printable entry pledge forms signature rvnrtfguardn of under l vfl date sunday april 25 2004 time 1000 am sharp rain or shine place legacy community at 9th line and 14th avenue markham event may be cancelled if threat of dangerous weather conditions registration fees prior to april 16th 25 adults waived if 100 or more in pledges is submitted by april 16 adult fee includes event shirt race kit and registration 200 team entry fee waived if 500 or more in pledges is submitted by april 16 see team challenge flyer for details elementary secondary school students 20 or more in pledges includes event shirt race kit and registration under 20 in pledges minimum of 5 includes registration only registration includes race bib timing chip lunch and eligibility for prizes and draws after april 16th 30 adults 20 student registration fee race kits and event shirts for first 1500 registered participants registration pledge payment in person at the markham running room store at 4781 highway 7 unit 1 online at wwwrunningroomcom or vvwwsportstatscom prior to april 20th 200 surcharge please note pledges cannot be submitted via online registration in person a the markham stouffville hospital foundation office prior to april 20th mon to fri 830 am to 430 pm by mail postmarked by april 8th to markham stouffville hospital foundation legacy run 381 church st po box 1800 markham on l3p 7p3 by fax with credit card to markham stouffville hospital foundation fax 9054727018 prior to april 20th event day 800 am to 930 am at the registration tent payment cash cheque visa mastercard or amex please make cheques payable to the msh foundation please note pledges cannot be submitted via online registration for more information call 905 4727373 ext 3777 or contact the running room store at 9054796253 visit our website at wwwleoacy5kca for printable entry pledge forms race kit tshirt pickup race kits and tshirts for first 1500 registered participants race kit and tshirt pickup at the running room 4981 hwy 7 unit 1 markham from april 21 to april 23rd 1000 am to 830 pm and sat april 24 1000 am to 530 pm event day at the registration tent