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HEINE’ RIDE REGISTRATION FORM First Name: Last Name: Address: Address2: Shirt Styles $13.00 City: Tank Top State: Short Sleeve Zip Code: Long Sleeve Contact Phone: XXL Shirts $15.00 Contact Email: Ride Shirt: Heine Man Hat: Yes ___ No_____ Heine Man Hat $16.00 If you have more than one rider, Please complete form for each! Please Mail Registration and a check or money order for Shirts and/or Hats to: Doug Caldwell 605 Hibbard Street Columbus, WI 53925. Remember, it’s not about the bike. It’s about the pizza!! |