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2009 Rally Pictures
Rally Registration
Please submit the form below to register. The registration fee is $20.00
(Additional $3.00 for XXL shirt).
There are two options for payment. PayPal or mail payment. Please make checks payable to Jillian Worsham and mail to
2993 Albatross Drive, Navarre, FL 32566. If you choose PayPal we will email you a PayPal invoice within 24 hours of registration. We prefer payment by mail if possible to avoid fees. Thanks and we will see you in September!
Name
*
First
Last
Email
*
Phone Number
*
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-
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Shirt Size
*
Small
Medium
Large
X Large
XX Large (additional $3.00)
XXX Large (additional $5.00)
How would you like to pay?
*
Mail Check
Paypal
What are you riding?
*
What club are you in?
*
Comment
*