Border Raiders

First name
Last name
Age
Address
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Daytime phone
Evening phone
Email address
Emergency contact
Emergency contact phone
$275 registration fee
The registration fee is required for all registrants.
Registration tshirt size
Select the size of your t-shirt included with your registration.
$40 Long Rider Century registration fee
Long rider registration tshirt size
Registrants who choose to participate in the Long Riders Century may choose a Long Rider Century t-shirt size.
I agree to the terms
By checking this box you agree that you are at least 18 years of age or will be accompanied by an adult and have read the agreement, waiver, and release and consent to the terms.

Border Raiders & Long Riders 2010 T-shirts

Tshirt:
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Border Raiders 2009 Jersey

Jersey:
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Border Raiders Water Bottle

Price:	$5
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Additional Banquet Dinner Tickets

Price:	$20
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Additional Long Riders Lunch Tickets

Price:	$10
Quantity:

Border Raiders 2010 registration