2010 Miles for Meningitis Motorcycle Ride Registration

 

*Required info:
 
Name:* 
Address:* 
City, State, Zip :* 
Phone:* 
Email:* 
Driver or Rider:*  DRIVER
RIDER
Consent:* 
 I have read and agree to the Motorcycle Ride Event Waiver, Relese, & Consent form.

 
 
 

The Becky Werner Meningitis Foundation, Inc, a non-profit 501(C)(3) organization reserves the right to use contributions made to the Foundation at the Foundation's discretion for purposes consistent with the Foundation's tax exempt purposes.

 
 
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