Rum Runners’ Relay 2016 Registration Form Saturday, September 24, 2016 A maximum of 70 teams will be accepted. Payment must accompany the registration form. Please print clearly!

Team Name:

_________________________________________________________________

Team Contact Person:

__________________________________________________________________

Address:

__________________________________________________________________

__________________________________________________________________

Postal Code:

_________________

Phone: (usual) _______________________ (alternate) _______________________

e-mail address: _______________________________________________________________________

Amount enclosed:

$500.00 Payable to: Rum Runners’ Relay Post-dated cheques will not be accepted. If your team doesn’t make it in to the relay, your $500 will be refunded. If you drop out of the relay and there’s no replacement, you will not get a refund.

Send form to:

Mark Stein 8 Bedford Street Bedford, NS B4A 1W4

Questions: [email protected]