Registration Form:
Name: _______________________________________________
Address: _______________________________________________
City: _____________________ State: ______ Zip:
____________
Phone: (______) ______-_______ E-Mail:
________________
| Check all that apply: |
( √) |
| Will be tent camping |
( ) |
| Will be RV camping |
( ) |
| |
|
| Volunteer Staff |
( ) |
| |
|
| Registration Fee Enclosed: |
( ) |
| Non-member @ $65 |
( ) |
| OMBA Member @ $60 |
( ) |
| Child under 13 @ $30 |
( ) |
Join OMBA--Membership Levels
Individual---$20
Family------$30
Lifetime----$100 |
|
Make checks payable to : OMBA
Mail this completed form and payment to:
The Ocala Mountain Bike Association
Spring Break FTF
P.O. BOX 2558
Belleview, FL 34421-2558 |
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