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Instructions: Fill in the form below, tally all costs (registration, banquet and apparel) and make note of the total owing. Click the Submit button to send registration information and continue on to the payment options page.

LAST DAY FOR ONLINE or MAIL-IN REGISTRATION IS SUNDAY JUNE 28TH
(Late registration can be in person at the Rally at the Registration Desk, Friday, July 3rd)

If you don’t wish to register online, click here for a pdf registration form you can print and mail.

Captain:   Age:
Stoker:   Age:
Address
Street:
City:
State/Prov:   Zip/Postal Code:
Phone (home):
Phone (cell):
Email:   (copy of registration info will be sent here)
Other Riders
Name:   Age:
Name:   Age:
Emergency Contact
Name:
Phone:
Name(s) and town as you would like printed on tandem license plate

Fees

Registration
Number of Adults: ¹
Number of Children: ¹ (ages 6-11)

Saturday Banquet - SORRY, SOLD OUT!
Adults: ¹ of which are vegetarian meals.
Children: ¹ of which are vegetarian meals.

Events
Number of Adults: will attend Cadboro Bay Beach Social
Number of Children: will attend Cadboro Bay Beach Social
Number of Adults: will participate in ride to Butchart Gardens
Number of Children: will participate in ride to Butchart Gardens

Jersey Semi Fitted Short Sleeve - 16" invisible zipper - 3 back pockets - elastic hem*
(click here for picture, sizing chart and more information)
Womens: Quantity ¹ Sizes:
Mens: Quantity ¹ Sizes:

Shorts Lycra Power - 8 panels - Flatlock seams - Chamois - Leg grippers*
Womens: Quantity ¹ Sizes:
Mens: Quantity ¹ Sizes:

Socks “Oh Canada”
Unisex: Quantity ¹ Sizes:
Total Due (¹Tally total fees here)
Payment method
Check will be mailed (no checks after June 21)
Will pay with PayPal (PayPal account not needed!)
(see payment instructions after submitting this form)

Notes
* Pre-rally clothing orders are now closed. Clothing orders can
still be placed up to and including the weekend of the rally for mail
delivery after the rally. There will be a $10 shipping charge per item.
** All prices are in US dollars
Note: Final date for registration refunds if you find you
can't attend the Rally is May 31, 2009

Comments and/or Questions

Have you checked your information carefully?

To submit registration information online and procede to payment options, click "Submit"

A copy of the submitted information will be sent to the email address supplied above.

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Last updated Apr 13, 2009