CORPORATE CUP TEAM DIVISION ENTRY FORM
10K Race Only

Division: (check one) OPEN MALE o COED o OPEN FEMALE o

Corporation:_______________________________________________________

Team Name:_______________________________________________________

Coordinator's name: ________________________________________________

Coordinator's address: ______________________________________________

City: _____________________________ State: ___________ Zip: ___________

Home phone:______________________ Work phone: _____________________

Team Members:

  1. __________________________________________ Phone: ________________
  2. __________________________________________ Phone: ________________
  3. __________________________________________ Phone: ________________
  4. __________________________________________ Phone: ________________
  5. __________________________________________ Phone: ________________

All team members must fill out a Mercedes Benz Cotton Row Run individual Entry Form. The team coordinator must submit individual entry forms with fees of $15 each if postmarked by March 31 and $20 each if postmarked between April 1 and May 22, along with this entry form and a $25 Corporate Cup entry fee to the address at the bottom of the page. All Corporate Cup entries must be postmarked by May 22, 2010 to be officially entered. No changes can be made after May 22.

Mail entries to: Mercedes Benz Cotton Row Run

524 Cleermont Drive

Huntsville, Alabama 35801