TrailRideWith.US
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Sign-Up Form    (Colorado)



First Name  _____________________

Last Name  _____________________

Street          _____________________

City             _____________________

Zip _______  Home Phone _________ Cell ___________

e-mail ____________

Emergency Contact Name ______________      #_____________

Bike _______________

Off-Road Only:
Rider Skill Level:   Newbee  (  )     Used to be good  (  )     Still pretty good  (  )

                        Flat out impressive  (  )    Street Rider (  )

        mail to Trail Ride With Us, 878 E Main St, Ephrata Pa. 17522
                                                          or
                      Phone 717. 738.1184 Chuck  Fax 717.738.4304
                                                   
Deposit Amount Included: $___________   Make Checks Payable to
                                                                    Yvonne Aughinbaugh


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