Tri Kappa's Annual Metric Century Bike Tour

Registration Form

2009 Tour de Max

Saturday, May 16, 2009

Please complete this form, print it, and mail it to the address below. You must also sign and mail the Waiver of Claim.



Phone: --

E-mail Address:

Emergency Contact: Phone: --

Name of Rider Age T-Shirt Size Route* Fee**

Grand Total

* Routes: see Tour de Max Homepage for description

** Fee $20 per person received before 5/1/09

$25 per person received after 5/1/09

Children 12 and under ride free with adult, t-shirt not included

For more information, please contact:

Karen Heim, 2008 Tour de Max Chair


Tri Kappa - Tour de Max

PO Box 143

Culver, IN 46511

to Waiver of Claim

to Tour de Max Homepage

to Scenes from Tour de Max 2000

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