General Information |
| First Name* | |
| Last Name* | |
| Address* | |
| City* | |
| State/Province* | |
| Postal Code* | |
| E-mail* | |
| Primary Phone | |
| Alternative Phone | |
Individual Registration $40 (must be paid prior to August 1, 2008)Complete only if registering as an individual |
| T-shirt size: |
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Family Registration $85 (must be paid prior to August 1, 2008)Complete only if registering as a family |
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List family participants:
Enter one participant per line.
Use "Name, Age, Shirt Size"
ex: "John Doe, 35, XL"
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| Total number of participants | |
| Total T-shirt order (write in totals for each size ordered): |
| S | |
| M | |
| L | |
| XL | |
| XXL | |
Emergency Contact |
| First Name | |
| Last Name | |
| Address | |
| City | |
| State | |
| Zip | |
| Primary Phone | |
| Alternative Phone | |
Route Selection |
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*
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I want FREE Friday Night bike transport: |
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I will transport my own bike: |
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I want Saturday morning bike transport for $20 per bicycle (payable at registration): |
Registration Fee |
| In order to register for the Great River Energy/Mesabi Trail Tour 08, a non-refundable $40 individual or $85 family registration fee is required with your registration form. Please do not send cash. Make checks payable to CLUB MESABI, Inc., (ERCCC), Inc. For online registrations via credit card, only VISA, MASTER CARD, and DISCOVER CARD are accepted. |
Other Information |
| How did you hear about the Tour? |
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| Specify: | |
| By submitting this online registration form, I acknowlege that I have read and agree to the terms set forth in the WILLFUL PARTICIPATION, ACKNOWLEDGEMENT OF RISK, WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT. |
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| Online registrants must show up for registration in Virginia at one of the scheduled times in order to finalize registration and receive additional materials. Be sure to view the tour route maps for registration location. Scheduled registration times can be found in the event schedule. |
