NVC 1200k/1000k Registration Form.
This is the registration form for Northern VA Clover 1200k/1000k on June 3-6, 2020.
Email address *
Shenandoah valley skyline drive
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) *
Please provide name of your qualifying event?
Current package (Double occupancy rooms or single occupancy @ Comfort Suites) *
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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