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2013 Ride For Hospice

2013 Ride For Hospice

Motorcycle Entries Sought for Benefit

Pre-registration is now open for the 6th Annual Greater Regional Ride for Hospice event to be held Saturday, October 5. Proceeds from the event benefit Greater Regional Hospice.

Please fill out this form to pre-register for the motorcycle ride.

required = Required Field

required Contact Name:
required Names of Riders:
1.
2.
3.
4.
required Street Address:    
   
required City: required State: required Zip Code:
required Phone Number: xxx-xxx-xxxx    
   
required Email Address:
required Please Mark T-Shirt Size Desired:

Medium   Large   X-Large   2X-Large

Additional T-Shirts ($15 Each)

Medium   Large   X-Large   2X-Large

Medium   Large   X-Large   2X-Large

Medium   Large   X-Large   2X-Large

Medium   Large   X-Large   2X-Large

Medium   Large   X-Large   2X-Large

We’ll have everything set up and ready to go for you on the day of the event. Thank you for your support!