2008

Whole Hawg Run

Official Entry Form

________________________________________

Name

_____________________________________________

Address

_____________________________________________

 City                               State                                  Zip

_____________________________________________

Phone

T-Shirt Size (Circle One):

                 S               M              L                 XL             XXL

Sex (Circle One): Male Female

Age on Run Day:  ______________________________

Check One:

□ $200 (without 6th card)

□ $225 (includes payment of 6th card)

Payment by (check one):

   □   Visa/Mastercard

   Card # ________________________   Exp. _______

   Security Code: _____ (3 digit number on back of card)

   □   Check/Money Order/Cash

WAIVER:  I hereby release and hold harmless the Eufaula Area Chamber of Commerce, its officers, agents, and/or employees, other participants, sponsors or advertisers of any and all injury, disability, death or loss or damage to person or property arising from negligence to the fullest extent permitted by law.  By my signature, I verify that I understand this release and all rules associated with the event.

____________________________________________

Signature                                                          Date

____________________________________________

E-mail Address

Print out the poker run entry form and mail it to:

Eufaula Area Chamber of Commerce

P. O. Box 738

Eufaula, OK 74432

Potential Winners Since 4/01/08