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  Home 200K 300K 400K 600K Register Riders Rules  
San Luis Obispo 2005 Brevet Series

Registration Form

Name (required)
First M.I. Last
Address (required)
Street
City State ZIP
Phone Numbers
Day Evening
Club (club name or ACP Code required)
Name ACP Code
RUSA (suggested)
Number If you don't have a RUSA Number, you
can get an application for one from RUSA.
Emergency Contact (required)
Name Phone
Other
Email  
Sign up for
200K on March 5 300K on April 16
400K on May 7 600K on May 28
I want medals (at $7 each) for each ride
Total Fees

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