1,000 Mile Club Yukon

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1000 Mile Club (Yukon)
Registration & Jacket Order Form

The 1000 Mile Club is the premier membership level of the Yukon Quest.

2008 Member Benefits include:

- Columbia Jacket or Fleece with your Name, sponsored Mile# and 1000 Mile Club custom embroidery
- 1000 Mile Club Pin, Yukon Quest Membership card and patch
- One vote at the 2008 Annual General Meeting
- Quarterly electronic Newsletter Subscription

1,000 Mile Club w/Fleece Jacket $200.00^+GST+ s&h*
- Individual membership package
- 1,000 Mile Club pin
- Special Recognition in Race Annual

* required

	1,000 Mile Club w/Limited Edition Jacket $350.00^+GST + s&h*
	1,000 Mile Club -renewal with fleece jacket: $170.00^+GST + s&h*
	1,000 Mile Club -renewal with Ltd. Edition jacket: $300.00^+GST + s&h*
	Renewal of mile, no jacket: $75.00^+GST

	2^nd jacket, same mile : fleece: $170.00^+GST +s&h*
	2^nd jacket, same mile: Limited Edition $300^+GST + s&h*

Embroidery:
1^st Line / Name: *	Size:*
Please enter the 1st Line you would like on the jacket. Please enter the 1st Line you would like on the jacket.	Please select a Jacket Size.
2^nd Line / Business Name (if desired):

1^st of YQ Mile: *	2^nd Choice of YQ Mile: *
Please enter a number between 1 and 1000. Please enter a number between 1 and 1000 Please enter a number between 1 and 1000 Please enter a number between 1 and 1000 Please enter a number between 1 and 1000 Please enter a number between 1 and 1000	Please enter a number between 1 and 1000. Please enter a number between 1 and 1000 Please enter a number between 1 and 1000 Please enter a number between 1 and 1000 Please enter a number between 1 and 1000 Please enter a number between 1 and 1000
Name: *
Please enter your Name. Please enter your Name.
Address Line 1:(Street address, PO box, company name, c/o)
Please enter your Address. Please enter your Address.

Address Line2:(Apartment, suite, unit, building, floor, etc.)

City: *	State/Region/Province: *	Zip/Postal Code: *
Please enter your City. Please enter your City.	Please enter your State/Region/Province. Please enter your State/Region/Province.	Please enter your Postal code. Please enter your Postal code.

Country: *

Please enter your Country.
Please enter your Country.

Phone Number:	Alt. Phone Number:	Fax:

Email Address: *

Please enter your Email address.
Please enter your Email address.

I would like to receive the E-Bulletin - news and updates emailed approx. 12 times a year.

Please select an item.

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Membership Prices & Shipping

New Member w/Jacket	$350^+GST = $371
Renewal w/Jacket	$300^+GST = $318
2nd Jacket, same mile	$300^+GST = $318
2nd Fleece, same mile	$170^+GST = $180
New Member w/Fleece	$200^+GST = $212
Renewal w/Fleece	$170^+GST = $180
Renewal w/out Jacket	$75^+GST = $79^.50

Shipping:

to U.S. address	$20
to International address	$40

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1,000 Mile Club Yukon