Gold Rush 1200 Km Randonnee -- hosted by the Davis Bike Club

Sign-Up
Application forms will be available early in 2005. If the ride fills up we will take those riders who have sent their data from this form, giving priority to those entrants by date. Please sign-up below to reserve your priority number and receive information as it becomes available!
( ¹ = Required values)

First Name	:	¹
Last Name	:	¹
Address	:	¹
City	:	¹ State: ¹
Zip Code	:	¹
Country	:
Phone	:	(Like 555-444-4444)
Please e-mail information-- Yes No,just surface mail
E-mail	:
Interest	:	Ride? Yes,I plan to No Maybe,if all goes well
		Volunteer? Yes No
		Sight-seeing activities for family? Yes No
		Need travel arrangements? Yes No
Comments	:	Write to us about any ideas or concerns... we'll help!