2010 Arizona Brevet Registration Form
Home   Back to Instructions - Go to waiver form  
Rider name
Address
 
Telephone
Email Address  
(If you want registration confirmation)
Age
RUSA #
  (ONLY if you're under 18 years old)   (For RUSA members)
Date
Club

__ Aug 21: High Country 200 km brevet, Show Low, AZ: $20 (Registrations must be received by Wed, Aug 18th.)

__ Nov 6: Heart of Arizona 200 km brevet, Congress, AZ:
To register for the Heart of Arizona Brevet, go directly to the Bull Shifters web site.

-- Nov 13: Mt Lemmon 200 km brevet, Tucson, AZ: $20. (Registrations must be received by Wed, Nov 10th.)

Make checks payable to Susan Plonsky and mail to:

Susan Plonsky
1488 W Horseshoe Bend Drive
Camp Verde, AZ 86322

(Note: Part of the event fees includes membership in Southern Ariziona Randonneurs.)