American Legion Riders District 7 Legacy Run 2018
Registration form for the 2018 Legacy Scholarship Fund Ride

-- Payment will be expected upon check in on the day of the ride for electronic registration.
BEFORE May 15th Rider $25 / Passenger $15
AFTER May 15th Rider $30 / Passenger $20

Email address *
Riders Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
5 or 9 digit zip code
Your answer
Riders Telephone # *
xxx-xxx-xxxx
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Telephone # *
Your answer
Rider Shirt Size *
Passenger Name
Your answer
Passenger Email
Your answer
Passenger Emergency Contact Name
Your answer
Passenger Emergency Contact Telephone #
Your answer
Passenger Shirt Size
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