Extra Pasta Dinner Registration for the Canadian Death Race 2006

The on-line pasta ticket purchase is a two step process. First you must enter all your personal information, followed by the actual e-commerce page that will take you through to completion. 
Your extra ticket(s) will be included in your racer's kit at registration.

Privacy.
Your privacy is important to us. The Canadian Institute of Extreme Racing requires some personal information for registration and health and insurance purposes.  At no time is this information given out or sold to third parties. The only information that we do post at is your name, in the list of registered runners so that you can ensure you are listed and the race results and so that you can see and verify your running time(s).
* The address information is only required for the on-line e-commerce transaction software only
** Indicates a field not required.

*** The e-commerce software will auto-detect which type of credit card is being used.

**** All transactions will be in Canadian Funds.


Personal Information - Step One






First Name:

Last Name:

Address:
 
Address 2:
 **
City:
 
Province/State:
 
Country:

Postal Code or Zip Code
 
Email Address:
 
Phone Number: