Women In Motion

Registration

$85.00 per person includes 4 meals and evening festivities. Ride limited to 300 participants so register early!

Due to the unstable price of gas, we will collect gas money at the registration table if we have a group gas stop planed. This will eb explained and you will be notified of the amount in the pre-ride letter you receive two weeks before the event.

Registration by June 20 guarantees you a Women In Motion Shirt.
See Flier for refund policy. Your entire registration is a tax deductible donation to ASMI.

Registration can be done now with secure online payment

To pay for this event by credit card, click on the Buy Now link. A separate window will open for your payment. Be certain to indicate your shirt size in the comment box. If registering more than one person - indicate shirt size and name.

85.00 Registration
Buy Now

or

Download a flier and send registration with payment.

For more information, call: ASMI toll free at (877) 411-8551
or e-mail info@accidentscene.org

CONFIRMATION AND MORE INFO WILL BE SENT UPON RECEIPT OF REGISTRATION.

REGISTRATION FORM

Full Name(s): - Please use separate forms if not at same address.

Street Address

City

State     Zip Code

My phone number is:

My e-mail address is: 
Women's Shirt Size (tank top)
Men's Shirt Size (sleevless tee)

Can you drive 100 miles on a tank of gas:  Yes No
* Note: Limited space - first come, first served

Comments:

 

 

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