This web site is just about ready to go down, I can no longer make changes or edit like I need to.  Please go to the new web site www.ridefortherelay.net.  Sorry but that is the way GoDaddy works.

 

2016 Ride Application

1st Annual
"Ride for the Relay Reunion"
2016 
Decorah, Iowa
 
Please mark one of the below:

  Motorcycle Rider (  )
 Passenger on Motorcycle (  )
 Auto Driver (  )
Auto Passanger (  )
 Non-Riding/Driving Sponsor (  )
Name: _____________________________________________________________
Address: _____________________________________________________________


City/State/Zip Code: ______________________________________________________
 Telephone: (        ) ________, ____________ 
eMail Address: _______________________________ @_______________________ 
   
Corporate Sponsor:  (    )  $660
                     Pin Sponsor:  (    )  $330
Non-Rider Gold Sponsor:  (    )  $132
            Non-Rider Silver:  (    )  $66
          Non-Rider Bronze:  (    )  $33
   Banquet Tickets only (   )  $35 each

Motorcycle Rider/Auto Driver Package:  (    )  $132 ---------- T-Shirt Size:  _________
Above package includes:  Banquet Ticket, T-Shirt, Patch, Pin, Windshield Decal, 5 Raffle Tickets

Motorcycle/Auto Passanger Package:  (    ) $132 ---------- T-Shirt Size _________
Above Package includes:  Banquet Ticket, T-Shirt, Patch, Pin, 5 Raffle Tickets

Non-Riding/Driving Sponsor (   )  $66
Above Package includes:  Banquet Ticket, Pin, 1 Raffle Ticket

Send all Sponsorship Applications to:
Ride for the Relay
c/o Rodger L. Fox
63 East Central Park Plaza
Jacksonville, Illinois 62650

Make all checks payable to Ride for the Relay or the American Cancer Society

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