2018 Brian Harms Memorial Online Entry

Please fill in the requested information below press the preview button, verify information
on the next screen then press the "Pay Here" button where you will be taken to the Paypal
processing site where you MUST select payment method and provide any information they
require. Once successfully paid you will be redirected to the Press Run/Walk Club
Confirmation page.
NOTE: If Payment is Successful you will receive payment confirmation email (within 24hrs)
both from Paypal and entry confirmation from us (if you do not receive our email within
24hrs OR are having trouble with this entry form please contact us at
ranmorz@telusplanet.net
.)

IF you DO NOT RECEIVE CONFIRMATION YOU ARE NOT ENTERED!!.
**NOTE should you be using an Iphone or Ipad you may require using Google Chrome as a Browser


Visa, M/C, Paypal ** ALL Payments are handled securely by
Paypal ** DATA GRAPHX
and will appear on your Credit Card OR /Paypal statement as such.
A PayPal Account is NOT Required

 

IPhone or IPad you may require using Google Chrome as a Browser

FEES

16K Run 8K, 5K, Runs and Walks

ADULT (18+) Walk Run Club Members - $38.00 (INCLUDES $3 online processing fee)

ADULT (18+) Non Members - $48.00 (INCLUDES $3 online processing fee)

YOUTH (13-17) ALL - $27.00 (INCLUDES $2 online processing fee)

KIDS (12&U) ALL - $11.00 (INCLUDES $1 online processing fee)


 

ALL ENTRIES are NON-REFUNDABLE
* Denotes required Fields










Results Texted to

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(E-mail)

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You MUST Choose


If a Member please enter LAST 5 DIGITS of Membership #



mm/dd/yyyy format
(Date mm/dd/yyyy)

Auto filled by Age Selected above

Auto Filled by Distance Option selected above
$
Auto Filled by Distance Option selected above
Please read and agree to the below waiver: