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ChampionChip Order Form
Join the 21st Century today! Be ahead of your time. Be the
first on your block to own your own ChampionChip. Guaranteed
for life, and usable world-wide in a growing number of events,
owning your own ChampionChip identifies you internationally as a
ChampionChip runner who has made a commitment to the sport.
Join the regional and global database of Chipsters!As the ChampionChip becomes established in races in the
Washington, DC, metropolitan area, race directors are beginning
to offer a $2 or more discount to runners who own, rather than
rent, a Chip. Save on entry fees and save time at
registration! The active
runner will quickly recoup the cost of the ChampionChip. Please fill out the order form completely and legibly. We
will enter you into the international database of Chip owners,
accessible by race directors worldwide.
Name: __________________________________________________________
First Middle Last
Address: _______________________________________________________
City: ___________________________ State: _______ Zip: __________
Birthdate: ___/___/______ Sex: M F Phone: (_____)_____________
E-mail address: ________________________________________________
All prices include sales tax, shipping, and handling.
____ $35 ChampionChip ____ $3 Velcro ankle strap
____ $5 Neoprene ankle strap ____ $3 Shoelace velcro strap
Total Enclosed: $______
Make check payable to Capital Running Company and mail to:
ChampionChip, 13710 Ashby Road, Rockville, MD 20853-2903.
Or, pay by credit card. You may fax your order to (301)871-0006.
____ Visa ____ MasterCard Expiration Date: ____/______
Card number: _______ - _______ - _______ - _______
______________________________________________ ________________
Cardholder's signature Date
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