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Cycling For A Cause
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1
Enter Your Name
First Name
Last Name
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2
Enter Your Email
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This field is required.
example@example.com
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3
Please Enter Your Phone Number
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4
Will you be biking with us?
Bikers will have to pay, "Biker Fee" of $75 to help us facilitate the management process & You will receive a T-SHIRT and WATER BOTTLE at the event.
YES
NO
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5
Required "Biker" Donation Amount
*
This field is required.
This is a required donation amount to help us facilitate the biking process & You will receive a T-SHIRT and WATER BOTTLE at the event.
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75
USD
USD
+ OR enter a custom value
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