BIKE VAN BUREN XXI - REGISTRATION FORM

Print and Mail Completed Form to Villages of Van Buren
  



Name


Mailing Addr


City


State   Zip Code


Telephone #   Age   Sex

Email:

Lodging Info                Camping Info

Pre-Register by July 23, 2007 - $20.00
Register after July 23, 2007 - $25.00

Free T-Shirt for Ride With Early Registrations

Late Registrants T-Shirts Will Be Mailed Later

All pre-registrations will be confirmed by mail.
Event held Rain or Shine. No Refunds

All participants will be required to sign a release of liability waiver.

Mail fee and completed form to:
Villages of Van Buren, Inc.
P.O. Box 9
Keosauqua, IA 52565

For Information on lodging, etc.
Call 800-TOUR VBC (868-7822)
Web Site: http://villagesofvanburen.com
Email Us

T-Shirt Size: (Circle One)        S     M     L     XL   XXL