Ceevacs Roadrunners
2010 Running Club Membership
Online Registration

Duncan
Vancouver Island, BC, Canada
To register for membership in the Ceevacs Roadrunners Running Club using Eventsonline.ca please follow these steps:

  • Type your name and other information into the web form page below & click the submit button.
  • Visa and Mastercard are accepted. Your online Credit Card Transaction will be processed securely in Canadian dollars.
  • Confirmation of entry via this online form will be provided by email and on the confirmation page after your payment has been processed.
    (Payment processing takes about 16 seconds)
The Ceevacs Roadrunners Club website is located at: http://www.ceevacs.com/
Membership Type: Individual    ($20)
Family        ($30)
Student       ($5)
Last Name:
First Name:
Address:
City:
Province:
Postal Code:
Country:
Home Telephone:
Work Telephone:   ext
Cellphone:
Fax Number:
Email address:
Alternate Email address:
Date of Birth:
Year
Month
Day
Gender: Male
Female
New Member or Renewal: New Member
Renewal
Number of years you would like
to purchase your membership for.
(Total fee will equal membership
fee times number of years.)
How many years have you been
a member of Ceevacs?
Occupation
School Name: (Student Members)
List additional family members (at the same address) who also want to join Ceevacs
as part of a $30 family membership.
Name Birthdate (Year/Month/Day) Gender
M F
M F
M F


Form page and CGI script by Eventsonline.ca