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Register for the Ride . . .
Let's ride together and find a cure for Juvenile Diabetes!
Register by 8/15 and receive a free event T-shirt!
Not valid for registration after 8/15, No exceptions.
First Name:    
Last Name:    
Address: Address (Cont.):
City:    
State: Zip:
Phone: Mobile:
Email Address: Confirm Email:
Number of Bikes:
Number of Trikes:
Number of Cars:
Total Number of People Participating:
Total Cost ($30.00 / Person): $0.00
 
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