Walk-A-Thon
May 21st at MKE Lake Front
Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
T-shirt Size
*
XS
S
Med
Large
XL
XXL
Walking time slot (please arrive a half-hour before your time slot)
*
9:00 AM
10:30AM
12:30 PM
Type a question
First Name
Last Name
Shirt Size
Time Slot
Walker 1
Walker 2
Walker 3
Walker 4
Walker 5
Walker 6
Walker 7
Walker 8
Walker 9
Walker 10
Walker registration includes event t-shirt
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Walking Registration
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit Form
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