Marathon Training Class Registration Form 2004

Name___________________________________________
Birth Date_______ Sex________

Address_________________________________________
City / State_________________________________ Zip________

Telephone_________________

Expected marathon you wish to compete in (if known)____________________

Mail with $30 check or money order to:
Hansons Running Shop
3407 Rochester Rd.
Royal Oak, MI 48073


*Secured by phase
www.phase.com business technology communication phase secure transaction