2016 NW Crank Registration
Please complete and submit the registration form below.
You will also need to complete and sign a waiver:
https://docs.google.com/document/d/1QSziSl-y5AaFSxNgqMjSLzFJh1FCL_6BE02y2Bjf45I/edit?usp=sharing

Payment can be made by:
- Bringing a check to Wenatchee

- Sending a check to Eric at:
Eric Vigoren
1215 5th St
Bremerton, WA 98337-1213

- Making a PayPal payment to info@northwestcrank.com

Last Name *
Your answer
First Name *
Your answer
RUSA Number
Your answer
email *
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone *
Your answer
Ride Phone
Your answer
NW Crank Registration *
Additional Banquet Tickets $25 each
Discount
(Member and Resident discounts only available to Full or Multi-Day registrations)
Rides
Indicate the rides that you are planning to do.
4/28 (Thursday) - NW Crank Ride
4/29 (Friday) - NW Crank Ride
4/30 (Saturday) - NW Crank Ride
5/1 (Sunday) NW Crank Ride
4/23 (Saturday) - 600K Brevet or 1000K Brevet
4/26 (Tuesday) - 300K Brevet
4/27 (Wednesday) - 400K Brevet
5/1 (Sunday) 200K Brevet
Submit
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