FEED THE NEED
MOTORCYCLE PRE-REGISTRATION          
2010
As a participant in the FEED THE NEED BENEFIT RUN, I will not hold the planners, supporters, partners, volunteers, or donors responsible for any accidents, road conditions, or weather conditions etc.  Neither will I hold the above named responsible for sickness, injuries or any other such maladies incurred while participating in the FEED THE NEED BENEFIT RUN or the party after the Benefit Run.
(all contact information is guaranteed to be kept confidential)
Signed:___________________________________________ Address:__________________________________________
            ___________________________________________
            ___________________________________________
_Telephone:_______________Date    _______________ _     How many people on the motorcyclce________ 
 Paid:    Personal Checks______        Money Order____ ___
Checks should be made out to FEED THE NEED
Amount due:  $25.00 per motorcycle 
$10.00 for spouses motorcycle
       PRINT THIS PAGE, FILL OUT, AND MAIL WITH PAYMENT
   Mail TO
  FEED THE NEED
    615 12TH WEST  
  Ashland, WI.  54806