Registration

Each individual participating in the ride and the party Saturday night must be registered.

Rider 1:

Name:
Age:
Address:
Telephone Number:
Email:
Emergency Contact (name): Phone:

Rider 2:

We are riding 1 bike 2 bikes

Name:
Age:
Address:
Telephone Number:
Email:
Emergency Contact (name): Phone:

Total Fee: $45 individual or $90 for two
If you register by December 31, 2011 its $35 and $70

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