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GABA GENERIC REGISTRATION FORM

Ride Name ________________________________________________

FEES:

_____ GABA Member(s)                           $__________
_____ Non-member(s)                            $__________
_____ Late fee (each)                          $__________
Other Fees (if any)
_____ _______________                          $__________
_____ _______________                          $__________
_____ _______________                          $__________


Mileage Option: ______          TOTAL AMT DUE: $__________

NAME:___________________________________________

ADDRESS:________________________________________

CITY: ______________________ ST ____ ZIP _______

TELEPHONE: (___)____________


I am currently a member of GABA:   Yes   No

How did you hear about this ride?_______________


Please select, print, fill out and send the proper Release Form along with the Registration Form.
Phoenix Metro Bicycle Club Release Form
GABA West Valley Release Form

Make checks payable to the organization specified in the ride description.
Mail Registration Form, Release Form, and Fees to the address listed in the ride description or as otherwise specified.
See Chapters.

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