Eblast Payment Site
01/01/2019
 
PLEASE FOLLOW THESE DIRECTIONS FOR FILLING OUT FORM:

*** PUT NAME OF RACE IN FIRST NAME FIELD
PUT YOUR FULL NAME IN LAST NAME FIELD
PUT ORGANIZATIONS NAME IN ADDRESS FIELD AND FILL IN YOUR PHONE AND EMAIL. ***

THEN PUT GOBBLYGOOK IN ALL OTHER REQUIRED FIELDS SO THAT FORM WILL BE SENT TRHU SUCCESSFULLY.
Notify us at rhornpcs@aol.com once payment is made; since we do not check this site daily.
If paying for multiple eblasts please make sure you fill in approx broadcast date of each in appropriate boxes.
You must still send us the content 3-5 days before each broadcast date, even if it is the same as before.
Details and race-day or mailable registration can be found at: http://pretzelcitysports.com
  
* First Name:   * required fields
* Last Name:
* Street Address:
* City:
* Select a State:
* Zip/Postal Code: 5 digits only
* Gender: Male    Female
* Age on day of race:
* Date of Birth: MM/DD/YY
* Email Address:
Phone:
Best time to call: Day   Evening   Either
approx Date of FIRST eblast
approx Date of SECOND eblast
approx Date of THIRD eblast
approx Date of FOURTH eblast
Parent/Legal Guardian Name (required if under 18 on day of race):
 
Race(s)
One eblast payment at : ( $94.00 plus $1.00 service fee through 01/01/19 )
 
Two eblast payments at : ( $188.00 plus $2.00 service fee through 01/01/19 )
 
Three eblast payments at : ( $282.00 plus $3.00 service fee through 01/01/19 )
 
Four eblast payments at : ( $376.00 plus $4.00 service fee through 01/01/19 )
 

  WAIVER: Payment for eblast expected before broadcast. Once paid, notify PCS of that with an email to rhornpcs@aol.com. If paying for multiple eblasts please make sure you fill in approx broadcast date of each in appropriate boxes.You must still send us the content 3-5 days before each broadcast date, even if it is the same as before

 

Shirt Type
                                                   Size

Your registration will not be complete until you reach a confirmation screen
that says "you have successfully registered."
Do not close your browser window early or resubmit your entry.

Click Continue to review your registration information before making final purchase >>>>