Bike Registration Form

PARTNERS of Delta, Montrose and Ouray Colorado

Partners Make a Difference.
Become a Mentor and Change the Life of a Child.

Partners Challenge Bike Ride Weekend Get-Away

Day 1: Cerro Summit over Owl Creek Pass to Ouray

Day 2: Ouray over Log Hill to River Road to Montrose

Sept. 24-25, 2011

Each participant must submit a registration form.

Participation will only be confirmed

upon receipt of the $150 registration donation.

Set your own pace for this ride on graveled back country roads – this is not a race

Check in from 7-8 a.m. September 24, 2011 at Cerro Summit
Ride starts at top of Cerro Summit in rural Western Colorado
Fully supported ride with SAG wagons
Donnie Watson of Cascade Bicycles will be the ride mechanic
Rest Stops with refreshments approximately every 15 miles   Lunch on top of Owl Creek Pass, elevation 10,000 feet
Dinner in Ouray
Lodging in Ouray – the Switzerland of America
Passes to Ouray Hot Springs Pool
Breakfast in Ouray
Lunch in Montrose at close of ride
Late entrants will need to provide their own lodging
LIMITED TO THE FIRST 75 RIDERS to register
2011 ride jersey may be purchased at www.primalwear.com for $48
Individual riders raising more than $1,000 will receive a free jersey

                Questions? Call 970-209-3344 or 970-596-4682

***********Registration deadline Aug. 31,2011************

Family members may join you for meals and lodging with advance notice and an extra donation at check in.
Dinner=$10/adults & $5/children. Breakfast= $5.
Non rider in room = $40.

Name

Address

City

State

Zip Code

Telephone

Contributions in excess of $100 are encouraged to help financially support Partners in our local area.
This is a fundraising event for Partners, a non-profit organization.

Notes and Questions

Registration Amount

Donation Amount: $150 Registration donation per rider includes all of the above and spectacular fall scenery!!
(suggested additional $100 donation is due at check in.

$1,000 suggested donation for a corportte team of 4 riders.
Includes all lodging, meals, pool passes.

I would like to pay by

If you wish to pay by credit card it is a two step process.
First complete this registration form and click the "Submit" button below to complete your registration. Then you will need to return to this page and click the "donate" button at the top of this page to pay your registration.

I Prefer To Be Contacted By:

I Would Also Like More Information About Becoming a:
Senior Partner
Art Partner
Activities Volunteer
Investor

*Prices are subject to change with notice.

Start collecting pledges/donations now!

We can bill you monthly
Pay by cash, check or credit card

Contact us and we will work out a plan for you!

Make checks payable to PARTNERS
or contact us about other options
Mail or deliver to:
Partners, 315 South 7th,
Montrose Co 81401

Proud to be sponsored in part by:

Partners of Delta, Montrose & Ouray

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