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Ride For The Refugee Registration Page

Dates: October 4th - 7th, 2007

Entry fee: A donation of $25 per bike is requested. Your donation also gets you a t-shirt and jacket patch as shown on the main page. These funds will be used to fuel and equip our safety and support trucks. Additional shirts will be available for a nominal fee.

Please enter the following information and click "Submit".

Name:  
Mailing Address:  
Shipping Address (if different):  
City:  
State:  
Zip Code:  
Phone Number (with area code):  
E-mail Address:  
Passenger:  

Motorcycle Information

Make:  
Year:  
Color:  
License Plate #:  

T-Shirt Information

First T-Shirt - $25:  
Second T-Shirt - $14:  
Third T-Shirt - $14:  
Total to be mailed:
  You fill this in!

  

Please make your check out to: "Ride For The Refugee"

Mail check to:

Barry Loving, Ride Coordinator
1633 N. Nelson
Pampa, Tx 79065