Border Raiders

Border Raiders 2008 Registration

Please fill out the registration form completely. Select your ride options and any additional items you plan to purchase. Please be sure to indicate quantity, sizes, and dates where necessary when purchasing additional items.

Please Note: This is just a registration form. Once you have filled out the registration form completely, you will be e-mailed a detailed invoice with instructions about how to make a secure credit card payment through PayPal. You do not need to have a PayPal account to make your payment.

Please fill out one registration form per participant.

*Denotes Required Field

Contact Information

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip Code: *

Daytime Phone: *() -

Evening Phone: *() -

Email Address: *

Your Age on 6/21/08: *

Emergency Contact: *

Emergency Phone: *() -

Ride Options

* $245 Border Raiders Registration Fee T-Shirt Size:

$40 Long Riders Century T-Shirt Size:

Additional Items

Additional Border Raiders T-Shirt $15

Additional Water Bottle $5 | Quantity:

Additional Long Riders T-Shirt $15

Additional Long Riders Lunch $10 | Quantity:

Additional Celebration Banquet Ticket $20 | Quantity:

Additional Overnight Facilities (for non-riders accompanied by a registered rider)
$20 per day, per person

Select which nights you need additional facilities:

6/21 - Atchison | Quantity:
6/22 - Falls City | Quantity:
6/23 - Nebraska City | Quantity:
6/24 - Hamburg | Quantity:

6/25 - Maryville | Quantity:
6/26 - Savannah | Quantity:
6/27 - Weston | Quantity:

2008 Border Raiders Jersey

Men's 2008 Border Raiders Jersey $70

Women's 2008 Border Raiders Jersey $70

Discount Code (Case-sensitive)

Agreement:

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.

Confirm Selections

Border Raiders PDF Mail-In Registration Form

Please click here to download a PDF of the registration form that you can mail in with your payment.

Border Raiders

Border Raiders 2008 Registration

Border Raiders PDF Mail-In Registration Form

Cancellation Policy