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Register

"*" indicates required fields

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? *

Price: $5.00

List name of each group member:*

First Name

Last Name

General Information

Email:*

Phone:

District #:

Chapter #:

Ride Information

Date of Ride:

Complete Registration

Total

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

Payment Method*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name