Pat's Pavement Pounder - Making Strides for Cancer Research and Education

Photo Albums
1st Annual (2000)
PPP Collage

Online Registration Form

Now Available!

(You will be redirected to the Foundation for Upstate Medical University website)

Printable Registration Form

Online Registration is unavailable. Please sign up on the day of the event from 12:00pm to 1:00pm.

Name:

Address:

City:

State: Zip:

Phone:

(xxx-xxx-xxxx)

Email:

Registration Type:

	Individual	$20	(1 T-shirt included)
	Family	$40	(2 T-shirts included)

Select Shirt Size:

Additional Shirts:

XXL

Quantity:

Additional Donation:

$.00

Please notify me of future Pat's Pavement Pounder events

Pre-registration payment must be received by September 24, 2010

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