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Mud Dog Rider Registration Form

Posted Tue, 01/12/2010 - 19:56 by pete

To register as a rider complete the form below. RIS will provide you your own personalized Mud Dog home page where we will list your supporters as they pledge. Your name as a rider will also appear on the RIS Mud Dog Home Page. You may also further personalize your home page by sending a picture of yourself by attaching it to an email to ptwyckoff@msn.com and adding any comments in the section below. Anyone can then pledge for your ride, either a specific amount or an amount per mile driven, on the RIS Mud Ride Pledge Form.

Personal Information
(with area code)
(with area code)
Starting Location

I will start my mud dog ride from the following location (city)

City

Your starting location for your Mud Dog Ride to the Fairmont Holiday Inn

Total Miles

Please give the approximate miles from your starting location to the Fairmont Holiday Inn.

MN Snowmobiler Membership

I am a member of Minnesota United Snowmobilers Association (MnUSA). If not, you must be a member in order to participate and get pledges. To become a member, ($20 annual individual/family membership), log onto www.mnsnowmobiler.org to register or call MnUSA at 763-577-0185.

YesNo
Are you a member of the Minnesota United Snowmobiler Association?

Comments you would like on your personalized Mud Dog homepage (optional)