Your Name (required)

Address (required)

City (required)

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Zip (required)

Phone Number

T-Shirt Size

Email

Group/Church/Business

Participation Type

RiderPost Ride Party AttenderDonation

Method of Payment

Check : Make payable to Taylored Business and Office SolutionsCredit / Debit Card : Will be processed with Paypal$20.00 X Number of ParticipantsDonation Amount