2004 INDOOR TRACK PHOTO CD-ROM ORDER FORM

MAIN FAX #: 503-218-6523 ALTERNATE FAX#: 419-821-4872

QUESTIONS: 231-582-2092 (9AM-5PM Eastern, M-F)

PRICE OF CD-ROM: $20 PER CD + $5 PER CD FOR SHIPPING, HANDLING & TAX = $25

NAME OF EVENT	DATE	COST	QUANTITY	TOTAL
MACOMB COUNTY INDOOR T&F CHAMPIONSHIPS – Warren, MI	03/24/04	$25
OAKLAND COUNTY INDOOR T&F CHAMPIONSHIPS – Warren, MI	03/23/04	$25
MICHIGAN INDOOR STATE TRACK CHAMPIONSHIPS (MITS) – Ann Arbor	03/06/04	$25
BIG TEN MENS INDOOR T&F CHAMPIONSHIPS – Ann Arbor	02/28-29/04	$25
MID AMERICAN CONFERENCE INDOOR T&F CHAMPIONSHIPS – Ypsilanti	02/27-28/04	$25
MACOMB COMMUNITY COLLEGE HIGH SCHOOL TRACK SERIES	01/30/04	$25
RED SIMMONS INVITATIONAL COLLEGE TRACK – Ann Arbor	01/24/04	$25
EMU INVITATIONAL COLLEGE TRACK – Ypsilanti	01/17/04	$25
MACOMB COMMUNITY COLLEGE HIGH SCHOOL TRACK SERIES	01/16/04	$25
JACK HARVEY INVITATIONAL COLLEGE TRACK – Ann Arbor	01/10/04	$25
MACOMB COMMUNITY COLLEGE HIGH SCHOOL TRACK SERIES	01/09/04	$25
TOTAL

CHECK/MONEY ORDER	CREDIT CARD: FAX or MAIL
REMIT CHECK TO: RUNMICHIGAN.COM ATTN:JUDITH CUTLER 03453 TERRACE ROAD BOYNE CITY, MI 49712	Please Check Credit card type: VISA____ MC_____ CREDIT CARD NUMBER __ EXPIRATION DATE __ NAME ON CARD: ___________________________________ ADDRESS:_________________________________________ CITY: _____________________________________________ STATE: _______________________ ZIP: _______________
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