Registration Form

5th Annual
RIDE FOR THE CURE
Saturday July 8th, 2006

Do you plan on attending this year's Ride For The Cure? Did you participate in the RIDE FOR THE CURE before?
Yes     No Yes     No
How Did you Hear About The Ride For The Cure?
Would you like to recieve email updates and/or info about the Ride For The Cure?
Yes     No If Yes:
Your enjoyment of this event is very important to us!
Please add your comments or suggestions about the Ride For The Cure
Rider's Last Name: Rider's First Name:
Passenger's Last Name
(If applicable)		 Passenger's First Name
(If applicable)
Address
City: Postal / Zip Code:
Telephone Num: Email:

Thank you for taking the time to fill out this form to help us plan an important and fun event. SEE YOU ON THE RIDE!