Drier Ride Registration   October 5, 2019

Name: ______________________________________________________

Address: ____________________________________________________

City/State/Zip: ________________________________________________

Phone: _________________________Cell__________________________

Email: _______________________________________________________

 

Registration $50.00 per person

Female ___    Male ____

Century Ride Half Century Ride

Shirts are optional.  You must be registered/paid

by Sept 20st to receive a shirt.

Shirts will not be available after Sept 20st.

Ultimate Performance crew shirt -Tropic blue, lime green stripe

                Sport Tex Light weight competitor Tee 

$20.00

__S__M__L__XL__2X__3X__4X

Total Registration _______________

               Shirts  _______________


Will you be staying in a local motel ______
 

How did you hear about this event ____________________________

             

Make Checks Payable to: RSVP and Volunteer Center of Kittitas County 

Mail to:

RSVP and Volunteer Center

1206 N. Dolarway Road, Suite 219

Ellensburg, WA 98926

Fax: 509-925-1730