Individual Participation - 3 Ways to Ride

Pledge: $ ($125 minimum)
 (a rider must have $125 in pledges to eligible for prizes)
Rider $50 entry fee ($20 tax deductible)
Rider $30 entry fee (Allina employee)
I cannot atend but would like to pledge $


Name:
Address:
City:
State:
Zip:
Day Ph:
Fax:
E-mail:

Rider’s Reception

August 25 I will attend    I cannot attend
August 26 I will attend    I cannot attend

 

Ride Along Passenger - $30 Entry Fee

Name:
Address:
City:
State:
Zip:
Day Ph:
Fax:
E-mail:

Payment method

Check payable to: United Hospital Foundation

Mail to:

United Hospital Foundation
333 North Smith Avenue
Saint Paul, MN 55102

Pledge Sheet — mail or bring CHECKS to event
Click here to download a Printable PDF of the Pledge Sheet

To finish your registration click here

To charge payment to your credit card click the box below:


Safety Requirements:

Current motorcycle endorsement on valid Driver’s license and proof of motorcycle insurance. It is recommended that drivers and passengers wear DOT-approved helmet. Riders under 18 MUST wear a helmet.

The entry fee is non-refundable

RSVP by: August 15, 2006

Rain or Shine

Thank You and have a great ride!