Please Print And Fill Our Completely

Name: _____________________________________________________________________

Address: ___________________________________________________________________

City: ______________________________ State: ___________________ Zip: __________

Email: ________________________________ Phone: (     ) _________________________

Registration Fee: $20.00 Per Person Total Event Fee.  Number In Party: ______ Total $_________

Early Bird Fee: $18.00 Per Person Total Event Fee.  Number In Party: ______ Total $_________
(This Fee Must Be Paid In Advance No Later Than August 15, 2003 In Cashiers Check Or Money Order)

Registration Fee: $15.00 Per Person One Day Only Fee.   Number In Party: ______ Total $_________

Bama BikeFest,  P.O. Box 266, Forkland AL. 36740

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