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Margarita Ride VII (MRVII) Registration Form
Margarita Ride Registration Form
Please note the following:
Please refer to the
Margarita Ride announcement
for details about the ride (when, where, etc.)
Each rider should register separately.
The $25 registration fee includes:
one meal
one beverage (a margarita for riders at least 21 years old)
one t-shirt (S-XL; larger sizes are available for additional cost).
All profits made by the ride will be donated to the
North Central States Chapter
of the
National Multiple Sclerosis Society
Only registrations
BEFORE AUGUST 26TH
will be guaranteed a shirt on the day of the ride.
At this time, we cannot process fee payments online, so you will be asked to mail them to an address specified at the conclusion of the registration process.
The use of helmets during the ride is REQUIRED.
(fields highlighted in yellow and marked with and asterisk (*) are required)
name
*
first/given name
*
last/family name
address
*
street / PO box / mailstop
city
state
*
zipcode
phone number
*
e.g. (605) 867-5309
email address
e.g. rider@lanehogs.org
shirts
Please specify your shirt size:
(choose one…)
Small
Medium
Large
XLarge
2XLarge ($1 extra)
3XLarge ($2 extra)
*
Specify below any
extra
shirts you would like:
shirt(s) (S) @ $10
shirt(s) (M) @ $10
shirt(s) (L) @ $10
shirt(s) (XL) @ $10
shirt(s) (2XL) @ $11
shirt(s) (3XL) @ $12
meals (for non-riders)
One meal is included with your registration fee, but if you would like to purchase any
extra
meals for non-riders (or another for yourself if you think you will be
really
hungry after the ride
), please specify the number below:
meal(s) @ $15
route
Please indicate which route you plan on riding.
Don’t worry, we won’t hold you to it if it is
really
windy that day:
15-mile route
30-mile route
45-mile route
75-mile route
note: lunch
BEGINS PROMPTLY AT 11:30 AM
so make sure you chose a route accordingly
donation
If you would like to make a tax-deductable donation to the North Central States Chapter of the MS Society, you may do so here. An official receipt for your donation can be obtained at the registration table on the day of the ride.
donation amount: $
.00
(whole dollar amounts please: no commas or other punctuation)