Team 25:40 New York City Marathon Runner Agreement
Thank you for your interest in participating in the 2017 TCS New York City Marathon with Team 25:40. Team 25:40 is an official charity partner of the TCS NYC Marathon.  Please complete the following runner agreement upon receipt. Once we have received your completed agreement, you will receive your invitation to the 2017 TCS New York City Marathon.
If you have any questions, please contact Amy at amyz@2540.org.  

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First Name *
Last Name *
Gender *
Date of Birth (MM/DD/YYYY) *
Street Address *
City, State, Zip *
Telephone Number *
Email Address (Please provide the address you check most frequently.) *
Do you already have a guaranteed entry in to the 2017 TCS New York City Marathon? *
T-Shirt Size *
Emergency Contact Name for Race Day *
Emergency Contact Telephone Number *
How did you hear about 25:40 and Team 25:40? *
Why do you want to run the NYC Marathon with Team 25:40? *
Do you agree to raise a minimum of $2,500 for 25:40 by November 5, 2017? *
25:40 reserves the right to charge you the balance of the fundraising minimum on or after November 6, 2017. Please provide your credit card information below. This information will be kept confidential. Please note you may provide your credit card information after you have accepted your NYC marathon invitation if you prefer.
Cardholder's Name *
Credit Card Number *
Expiration Date *
CVV# *
Running to give orphans and vulnerable children a #fightingchance to overcome poverty, disease and violence.
25:40 children wishing our runners the best!
Thank you for your prompt response to this application.  Please visit www.2540.org for additional information about 25:40 and Team 25:40.
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