NVC 1200k/1000k Registration Form.
This is the registration form for Northern VA Clover 1200k/1000k on June 3-6, 2020.
Your Full Name
Your complete mailing address
Your Cell Phone #
Emergency Contact name & number (someone who is not riding during the event)
Your RUSA Number if you are a member.
How do you qualify for this event (chose one of the options below)
1: One event of 1000km or longer in 2019.
2: One event of 600km or longer in 2020.
3: None of the options above applies to me; I will contact ride organziers for approval within 24 hours.
Please provide name of your qualifying event?
Current package (Double occupancy rooms or single occupancy @ Comfort Suites)
$620; Double occupancy included 5 nights hotel, June 2-7.
$995 Single occupency or share with your family included 5 nights hotel, June 2-7
Please provide the name of another rider if you both are sharing the room during the event. We do our best to accommodate this.
What distance are you riding 1200k or 1000k?
Please use this PayPal link https://paypal.me/NorthernVA to pay after you submit this form. For more info visit us at http://www.cyclingforever.com/nvc1200k.html
A copy of your responses will be emailed to the address you provided.
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