Desert River Randonneurs 200 Km ACP Brevet 3/16/13
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Any information provided will be used only for the administration of the ride and will not be shared outside of Desert River Randonneurs.
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Rider Information
First Name *
Last Name *
RUSA Membership Number
E-mail Address *
Emergency Information
Cellphone Number During Ride
Emergency Contact Name
Emergency Contact Phone Number
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