Registration Form

Margarita Ride X Registration Form
Please note the following:
  • Please refer to the Margarita Ride X announcement for details about the ride (when, where, etc.)
  • Each rider should register separately.
  • The $25 registration fee includes:
    • one meal
    • one beverage (a margarita for riders at least 21 years old)
    • one t-shirt (S-XL; larger sizes are available for additional cost).
  • All profits made by the ride will be donated to the North Central States Chapter of the National Multiple Sclerosis Society
  • Only registrations BEFORE AUGUST 30TH will be guaranteed a shirt on the day of the ride.
  • We accept credit card payments via Google Checkout. Unfortunately, Google does NOT accept debit card payments, so neither do we. That said, we still take plain-old checks as well, especially if they contain a nice donation
  • The use of helmets during the ride is REQUIRED.
(fields highlighted in yellow and marked with and asterisk (*) are required)
name
*
first/given name 		*
last/family name

address
*
 


*

phone number *

email address

shirts
Please specify your shirt size:   
* 		Specify below any extra shirts you would like:

meals (for non-riders) One meal is included with your registration fee, but if you would like to purchase any extra meals for non-riders (or another for yourself if you think you will be really hungry after the ride :-) ), please specify the number below:


route Please indicate which route you plan on riding.
Don't worry, we won't hold you to it if it is really windy that day:






note: lunch BEGINS PROMPTLY AT 11:00 AM so make sure you chose a route accordingly

donation If you would like to make a tax-deductable donation to the North Central States Chapter of the MS Society, you may do so here. An official receipt for your donation can be obtained at the registration table on the day of the ride.

.00
(whole dollar amounts please: no commas or other punctuation)