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Sign up your company for the Corporate FunRun .
By submitting this information, you are agreeing to be the captain for your company.
*
fields are required.
*
Company Name:
*
Company Address (line1):
Company Address (line2):
*
Company City:
*
State:
New York
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Canal Zone
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Trust Territories
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*
Zip Code:
*
Team Captain #1 First Name:
*
Team Captain #1 Last Name:
*
Team Captain #1 E-mail Address:
*
Team Captain #1 Password:
(5-8 characters)
*
Team Captain #1 Mobile Phone Number:
*
Team Captain #2 First Name:
*
Team Captain #2 Last Name:
*
Team Captain #2 E-mail Address:
*
Team Captain #2 Mobile Phone Number:
*
Select Event Date:
Would you like your registration to include a “swag bag” defined as a co-branded Corporate FunRun Virtual 5k tee shirt and finisher’s medal mailed to the residence of each team member:
Yes
No
*
Payment Method:
Select Payment Method
Will mail in a check upon receipt of invoice
Will pay over the phone by credit card upon receipt of invoice
*
Send Me An Email When Members Join:
Yes
No
Instructions for Team Members:
Please register yourself for any of the team challenges listed below. Limit of 20 participants per challenge.
Make Your Own Pizza
Craft a Cocktail
15 Second Dance Off
Tee Shirt Bedazzle
Trivia Challenge