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Ride For The Living 2016 Registration Fee

Rider Information
First name*
Last name*
Address*
City
Country*
Zip*
Phone*
Email*
Amount $600.00 3-star hotel single room.
$525.00 3-star hotel double room.
$500.00 3-star hotel triple room.
$1,075.00 5-star hotel single room.
$800.00 5-star hotel double room.
$750.00 5-star hotel triple room.
$ For multiple registration fees
Comment
- If you are paying for multiple participants, please list their names here.