Register for Cottage Grove – Umpqua Loop 200km brevet, March 30
RUSA membership is not required. Cost is $5 by Thursday noon, $10 day of ride. You can pay in advance with Gmail (attach >> send money) to michal.young@gmail.com or PayPal to https://paypal.me/willrando .
Email address *
First name *
Last name *
RUSA number (if a current member)
If you carry a Spot tracker and are willing to be tracked, please paste the URL of your public tracking page here
Your phone
Emergency contact name and phone
Street Address
If you provided a current RUSA number, you may omit address information and we will use information on file
City
State
Zip
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