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!

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