Please make all checks/money orders out to: Red Wing Masonic Lodge #8, P.O. Box 174, Red Wing, MN, 55066, C/O Cannon Valley Cancer Ride Committee. If you wish to receive a t-shirt all checks/money orders must be in by Friday, August 29 so we can guarantee everyone will receive a t-shirt!!!!
Name: ____________________________________________
Address: ____________________________________________
City: _________________ State: _________ Zip Code: _________________
Riders 12 and older: ___X $35.00 = ______Total Riders under 12: _____X $20.00 = _______Total
Additional Donation: _____________ Total
T-Shirt Sizes (Please state how many shirts needed at each size): Youth _____, Adult Large____
Adult 1X______, Adult 2X_______, Adult 3X______
Legal Disclaimer: In no way will Red Wing Lodge #8, Cannon Falls Oriental Lodge #34, Partners for Life, Minnesota Masonic Charities, or the Grand Lodge of Minnesota AF&AM be responsible for your personal property if it gets damaged or stolen, or be held responsible for injuries to yourself or injuries that you may cause to other riders. Please obey all signs on the Cannon Valley Trail and practice proper bike riding etiquette. We want to make this not only a fun event, but also a safe one!
I have read the above disclaimer and agree to the terms and conditions as stated.
Name: ____________________________________
Date: _________________________________