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Northern Virginia Randonneurs
April 2021 events Registration form. All paper-work will be paperless or electronically.
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Email
*
Your email
First & last name
*
Your answer
Phone number
*
Your answer
Emergency Contact (Name & Phone #)
*
Your answer
RUSA number (RUSA membership is required to ride)
*
Your answer
Choose your event
*
Saturday April 17 - Warrenton-Pop-100km - $10
Saturday April 17 - Warrenton-Gordonsville-300km - $25 (Home-Cooked meal at the end)
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We do appreciate that when you pay in PayPal, pay as you send money to a friend so we don't get charge commission rate.
A copy of your responses will be emailed to the address you provided.
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