2008 Bike-A-Thon Registration Form

To register for the 2008 BR2RB Bike-A-Thon, please fill out the following information: 

First Name:        

Last Name:        

Street:              

City:                
  
State:
 
Zip: 

Home Phone:   

Work Phone:   

Cell Phone:     

E-mail:            

Age:               

I plan to ride (Please check the ride you are registering for):

Friday, September 19, 2008 - 125 Mile Ride to Rehoboth Bay  

Saturday, September 20, 2008 - 125 Mile Ride to Rehoboth Bay

Saturday, September 20, 2008 - 75 Mile Ride to Rehoboth Bay

Saturday, September 20, 2008 - 50 Mile Ride to Rehoboth Bay

Saturday, September 20, 2008 - 25 Mile Ride to Rehoboth Bay