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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!!