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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