PVC Reimbursement 2013
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PVC Race Reimbursement 2013
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Please complete and email to smithna21@gmail.com
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Rider Name
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Rider Address
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Rider Email
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Rider Phone Number
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Race/Ride Name, Location
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Race/Ride Date
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Event type (road race, crit, triathlon, ride, etc.)
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Number of race days or ride days (wearing PVC Kit)
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Event Registration Amount
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Race/Ride Name, Location
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Race/Ride Date
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Event type (road race, crit, triathlon, ride, etc.)
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Number of race days or ride days (wearing PVC Kit)
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Event Registration Amount
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Race/Ride Name, Location
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Race/Ride Date
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Event type (road race, crit, triathlon, ride, etc.)
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Number of race days or ride days (wearing PVC Kit)
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Event Registration Amount
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Race/Ride Name, Location
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Race/Ride Date
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Event type (road race, crit, triathlon, ride, etc.)
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Number of race days or ride days (wearing PVC Kit)
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Event Registration Amount
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Race/Ride Name, Location
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Race/Ride Date
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Event type (road race, crit, triathlon, ride, etc.)
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Number of race days or ride days (wearing PVC Kit)
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Event Registration Amount
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Race/Ride Name, Location
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Race/Ride Date
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Event type (road race, crit, triathlon, ride, etc.)
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Number of race days or ride days (wearing PVC Kit)
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Event Registration Amount
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Race/Ride Name, Location
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Race/Ride Date
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Event type (road race, crit, triathlon, ride, etc.)
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Number of race days or ride days (wearing PVC Kit)
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Event Registration Amount
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Race/Ride Name, Location
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Race/Ride Date
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Event type (road race, crit, triathlon, ride, etc.)
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Number of race days or ride days (wearing PVC Kit)
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Event Registration Amount
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