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The Online Form-O-Matic

Fill out each blank below, then click the button to produce a flawless Palace Saloon 5K entry form. Print it out, sign and date it, attach a check, send the package, and then you'll be ready to run. Woo hoo!

Name:

Age (on 14 April 2007):

Date of Birth (mm/dd/yyyy)://

Sex (check one):   Male Female

Phone:()-

E-mail:

Address:

City:

State:

Zip Code:

Shirt Size (check one):   S   M   L   XL   No T-Shirt