Register

How are you registering?*
- As an Individual
- As a Group
Individual Registration
Name:*
First Last
Registration Fee:
The registration fee is $5 per person, per ride.
Price:
Group Registration
Name of person completing form:*
First Last
Your position:*
How many are in your group? Quantity*
Price: $5.00
List name of each group member:*
First Name Last Name
General Information
Email:*
Phone:
District #:
Chapter #:
Ride Information
Date of Ride:
MM slash DD slash YYYY
Complete Registration
Total
$0.00
Please only click submit once, it may take up to two minutes to process your payment. Clicking submit more than once may cause duplicate charges. Please email questions to webmaster@floridalegion.org
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

First Name	Last Name

Individual Registration