CLICK HERE TO REGISTER ON-LINE
To Download our Entry Form in PDF format
Click Here.
To get the free Acrobat Reader
Click Here
(please print this
form through your browser and mail
with souvenir form, check or M.O.
to:
SCOR P.O. Box 9065 • Brea,
California 92822)
Last Name:
________________________________________________
First Name:
____________________________________ Initial: ________
Birthdate:
Month: ___________ Day: ________Year: __________
Address:
_________________________________________________
City:
____________________________ State: _____ Zip: __________
Tel. (home): __________________
Tel. (work): __________________
E-Mail Address:
____________________________________________
Emergency Contact Person:
__________________________________
Tel.:
______________________________________________
Route: (Please
check)
___25 miles
___50 miles ___Metric Century
(63 miles)
(Please
check)
___ Single Rider ($45.00)
___Tandem Team ($75.00)......$__________
Name of Tandem
Partner:__________________________________
Raffle Tickets: ($1.00
each or 6 for $5)............................$__________
Barbeque Lunch: ($13.00
each)............................$__________
Total from Souvenir Order
Form: .....................................$__________
GRAND TOTAL: $__________
Check or money order must
be postmarked by October 14, 2008.
Ride rain or
shine. No refunds.
For information or to volunteer, call (562)
690-9693.
A confirmation card with you assigned bib number
will be
mailed to all registered riders.
Please bring this card with you to the
pre-registration area.
CLICK HERE TO REGISTER ON-LINE
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