Lakes and Pines Chapter ATV Ride for Kids Registration Form

Lakes and Pines Chapter ATV Ride for Kids Registration Form
Your Name (Main Contact Person)

First NameLast Name
Company or Credit Union Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your Email
example@example.com
ATV Riders (Please include all names, emails, and phone numbers)
Total number of Riders
Total Amount Due–$25 Per Person (18 and under are FREE!)
Questions or Comments?
Mail and make your check payable to:

Northern Communities Credit Union (NCCYou)
800 S. 16th Ave.
Virginia, MN 55792
Attn: Jess

For questions reach out to:
Jess at jessicar@nccyou.com or Shannon at shannonl@nccyou.com

Thank you! We look forward to seeing you there!
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