Biker Application

HAWGS for HOOVES RESCUE RIDE 07/19/2014
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Donation, $20 or $35

prevnext( X )
USDHHRR Poker-Run Fundraiser
Using PayPal, Riders may pre-register for $20, or $35 to include Passenger (Rider and Passenger play) ... Day of Ride $25/20.

Submitting pre-registration is your confirmation that you (and your passenger) have read and agree to the Terms & Conditions of the Hawgs for Hooves Rescue Ride ... Poker-Run Fundraiser for Witts End Farm Equine Rescue & Rehab, Inc (501c3). Rider must show valid driver's License at Final Registration before participating in the poker-run.

(407) 908-5402. wittsend509@aol.com Or fill in below by clicking submit. If you fill out and do not click submit or click submit twice it will not go thru. Also please click print to make a written copy for your records.
Should be Empty:

HAWGS for HOOVES RESCUE RIDE 07/19/2014