habitat for humanity bike to build registration form 2012 by B7BptW86


									     Habitat for Humanity Bike to Build Registration Form
       Northern Ocean Habitat for Humanity will be hosting the fourth
annual “BIKE TO BUILD” on Sunday October 7th. Sponsored by Beachwood
Bicycles, registration time 8:00am ride begins 9:00am at the store located
at 101 Highway 166 Beachwood, NJ 08722.
       There are three different rides available for participants. The first is a
23 mile ride along the Toms River and Barnegat Bay. The second ride is 32
miles and includes a ride through the scenic Pinelands. The third is a 10
mile ride for the casual rider along beautiful Toms River.

Name: __________________________________________________
Address: ________________________________________________
E Mail Address: ___________________________________________
Phone Number: ___________________________________________
I will be participating in:
_____ 32 mile ride - $35.00
_____ 23 mile ride - $25.00
_____ 10 mile ride - $15.00

Make checks payable to:
Send to: Habitat for Humanity Bike to Build
PO Box 1754
Toms River, NJ 08754

T shirts are guaranteed to early registrants!
Please specify T shirt size:                       S
* A waiver form will be available at Beachwood Bicycles the morning of the
ride and our website www.northernoceanhabitat.com.

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