a fund-raiser for scholarship


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JohnnyRide 2010

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Durand
Heritage
Foundation

JohnnyRide Registration

I want to print a Registration form to mail in. Click picture to print.     

I want to register here
(Step 1)

First name     Last name  

Street address 1   
  Street address 2 
City     State/Province      ZIP
Email address     
 Telephone  

(Step 2)   Please check all that apply

I will ride in JohnnyRide 2010 and will raise pledge money             
I will ride in JohnnyRide 2010 but will only pay a $25 daily ride fee      
I will not ride but I will help with sag wagon or other support           
I cannot ride or help but I will make a pledge for a rider    
I want to be a Business Sponsor and will make a
TAX DEDUCTIBLE contribution of $250. Please send me details.

(Step 3)