Pathfinder Challenge - Adventure Race

Open Registration for Pathfinder Challenge 2003.

RACE:

Team Name:

Captains Contact Info:

First (given) Name*

Last (family) Name*

Mailing Address*

City*

State*

Zip/Postal Code*

Work Phone

Home Phone*

Fax Number

Mobile Number

E-mail
(an e-mail address is required for each captain)*

Team Members (if known)

Team Member 1

First (given) Name

Last (family) Name

E-Mail Address

Team Member 2

First (given) Name

Last (family) Name

E-Mail Address

Team Member 3

First (given) Name

Last (family) Name

E-Mail Address

Credit Card Information*

Card Type*

Card Number*

Card Expiration*

Month Year

Name (as it appears on card)*

Billing Address of Card*

City*

State*

Zip/Postal Code*

Pathfinder Challenge Entry Fee Payment Schedule:

The entry fees per race are as follows. All deposits are non-refundable.

Chicago/Midwest - June 27-28 Entry fee for each team of four is $1,000
Non-refundable deposit of $500 due immediately to reserve team entry
Balance of $500 is due no later than May 1, 2003

Pathfinder Challenge 2003 Registration and Withdrawal Policy

All deposits are non-refundable.

�I confirm I have read and understand the Pathfinder Challenge Registration and Withdrawl Policy and agree to all Terms and Conditions. I authorize Pathfinder Challenge to charge my credit card for the amount entered below:�

Amount (in USD):

I Agree