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To register by mail, follow these steps:
1. print or copy this page
2. Fill in your name, contact information.
3. Mail with a check or money order to:
Blacktop Bicycle Tours
12802 Upper Ridge Rd
Conifer, CO 80433
August 5-10, 2007, UPnUP registration
Cost for this tour is $600 and limited to 14 riders.
Registration Closes 7-6-7.
Entry Fee enclosed: $_____________________
Rider Information
Name_________________________________________
Phone# _____________________ Alternate Phone # ______________________
Email___________________________________
Address_________________________________
City_______________________________ State_________ Zip________
2nd Rider, if applicable
Name_________________________________________
Phone#________________________ Alternate Phone#____________________________
Email ________________________________
Address_________________________________
City_______________________________ State_________ Zip________
Thank you! |