Bike the Interlake for MCC

Online registration

E-mail address *(required)

First Name

Last Name

Address

City/town

Postal Code

Phone Number

Age

Vegetarian Meal

 

Food Allergies

Registration for 2-Day Bike Tour: $35.00
(non-refundable)

Registration for 1-Day Bike Tour: $15.00
(non-refundable)

Total Registration

I would like to bring friends to the BBQ. Add $10.00/friend

Total for friends at BBQ

I am making payment online.

Total payment

Free T-Shirt S M L XL XXL

Cycling Jersey XS S M L XL XXL XXXL (A "fit kit" will be available to ensure you order your perferred size)
(Cost to be announced soon)

Comments

Registration deadline is end of May, 2007

To complete your registration, your address and credit card information will be collected from MCC's secure website. Though the next page you see is designed for people to “Donate to MCC,” your transaction will be properly credited for your registration. Please pay the full amount due and include in the comments section that this payment is for the Bike the Interlake ride.

MCC’s credit card processing site is secure, but if you prefer to mail in your registration please print this form and mail or fax it with your payment in full to:

MCC Manitoba
134 Plaza Drive, Winnipeg, MB R3T 5K9
Attn: Richard Dyck (Phone 261-6381 or toll-free (888) 622-6337)

Fax: 204-269-9875