Please print, fill-out, clip and send this registration along with a non refundable check made out to: Shenandoah Moutain Touring, L.L.C. - thanks SMT

Registration is now open and online at Active.com - or you can print and
mail this form with a check.

Early Registration is $140 - must be postmarked before April 7th, 2012
Regular registration is $150 - must be postmarked before May 12th, 2012
Late Registration is $180 - if postmarked before June 9th, 2012
Last minute registration after 9:00 PM June 9th -- online only -- $200

No Refunds
Transfer to another person $20 - 30 days prior to event only
Transfer to another person $50 - within 30 days of the race
We do not carryover entries to another year

Mail to:

Shenandoah Mountain Touring, L.L.C.
P.O. Box 1423
Harrisonburg, VA 22803

Name:__________________________________________________

Age: ________ M/F:_______ Email:__________________________

Street: _________________________________________________

City: ___________________________________ State: __________

Zip: __________________ Shirt Size:_________________________

Phone: Cell# ___________________ Home #____________________

Emerg #________________ Master 50+? ___ Clydesdale 200lb+ ____

Main Sponsor _________________________ Singlespeed ? ________