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NVC 1200k/1000k Registration Form.
This is the registration form for Northern VA Clover 1200k/1000k on June 3-6, 2020.
* Indicates required question
Email
*
Your email
Your Full Name
*
Your answer
Your complete mailing address
*
Your answer
Your Cell Phone #
*
Your answer
Emergency Contact name & number (someone who is not riding during the event)
*
Your answer
Your RUSA Number if you are a member.
Your answer
How do you qualify for this event (chose one of the options below)
*
1: One event of 1000km or longer in 2019.
2: One event of 600km or longer in 2020.
3: None of the options above applies to me; I will contact ride organziers for approval within 24 hours.
Required
Please provide name of your qualifying event?
Your answer
Current package (Double occupancy)
*
$620; Double occupancy included 5 nights hotel, June 2-7.
Required
Please provide the name of another rider if you both are sharing the room during the event. We do our best to accommodate this.
Your answer
What distance are you riding 1200k or 1000k?
*
1200km
1000km
Please use this PayPal link
https://paypal.me/NorthernVA
to pay after you submit this form. For more info visit us at
http://www.cyclingforever.com/nvc1200k.html
A copy of your responses will be emailed to the address you provided.
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