IronAzz Rider Registration

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Rider Registration

Name____________________________________________   Age_________________

Address_________________________________________________________________

City, State, Zip____________________________________________________________

Group Affiliation___________________________________________________________

Participants must raise a minimum of $25.00 for Feed The Children

(Pledge sheets are available to record donations)

Raise $25-$49 and receive a ride pin, lunch, BBQ Bash following ride

Raise $50-$99 and receive a ride pin, lunch, BBQ Bash following ride, and IronAzz T-shirt

SIZE_____________

Raise $100-$499 and receive ride pin, lunch, BBQ Bash following ride, IronAzz T-shirt and IronAzz hat SIZE_____________

Raise $500-$999 and receive ride pin, lunch, BBQ Bash following ride, IronAzz T-shirt, IronAzz hat and IronAzz long sleeve denim shirt SIZE_____________

Raise $1000 or more, receive ride pin, lunch, BBQ Bash following ride, IronAzz T-shirt, IronAzz hat, IronAzz long sleeve denim shirt, and exclusive 1000 club IronAzz jacket SIZE______________

All riders must sign a ride waiver the day of the ride

Make all checks payable to: Star Chapter #340 or Feed The Children

(Donations must be received by 05/01/08 to guarantee hat, T-shirt size and availability)

Mail registration forms and donations to:

 Star Chapter #340 C/O Monte Traylor

28110 NC 210 Hwy E

Currie, NC 28435

Contact (910)669-2842 or Britt Motorsports (888)428-4428

 

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