Bike Shenandoah Sponsors' Form

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Use this form to sponsor a rider. You will be directed to pay online via PayPal.

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Email Address *

Rider's First and Last Name *

Pledge Amount *

Understanding of sponsorship and payment

By clicking submit I understand and agree to make a payment on behalf of the rider of my choosing. I understand that no goods or services have been rendered, and that I will be sent a receipt for my tax-deductible contribution. I understand that upon submission, I can either make an online payment through PayPal or mail a payment by check if preferred, made out to Bike Shenandoah and clearly labeled as a rider sponsorship with his or her name. The mailing address for check payment is 601 Parkwood Drive, Harrisonburg, VA 22802. *

Required

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