Request For The 2012 Registration Package

Thank you for visiting the Tahsis Lions Club Great Walk website.
Please fill in the form below and we will send a "2012 Registration Package" to you via email,fax or regular mail.
Please note: To help us minimize expenses, we encourage the use of email and fax.
If you require further information or have specific questions please send us an email and we will be sure to get right back to you.

Email: greatwalk@greatwalk.com
Thank you for registering with a friend, or two, or more!

How do you wish to be addressed?

Choose one:      Mr.    Mrs.    Miss.    Ms.    Dr.   
Please fill in all the fields - Thank you 
Name:

     First      Last 

Address:

   Mailing    Street 


      City       Province/State 


   Country      Postal/Zip Code 


     Phone (with area code) Fax (with area code)


     Email

Tell us how you would like to receive your 2012 Registration Package.
Note: To help us minimize expenses, we encourage the use of email or fax - Thank you. 

Choose One:          - Email          - Fax          -  Regular Mail

Please let us know where you heard about the Tahsis Lions Club Great Walk - Ultramarathon
- Friend
- Internet Search Engine
- Link from another website
- News Item (TV, Radio or Newspaper)
- Go! Magazine
- Wild Isle Magazine
- Community TV Channel
- Great Walk Poster
- Great Walk Postcard
- Other - please tell us



Place your comments, suggestions or questions about the Tahsis Lions Great Walk here.



Thanks for participating in the 2012 Tahsis Lions Club Great Walk-Ultramarathon
See you on June 2, 2012
You will now be taken to the Confirmation Page.

Last Updated on November 17,2011 by The Great Walk
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www.greatwalk.com