2015 Long Trail Century Ride Registration


We are asking everyone to pre-register for the 2015 Long Trail Century Ride to benefit
Vermont Adaptive Ski and Sports. Please fill out the form to reserve your place.

PLEASE NOTE: ALL participants must raise their OWN minimum fundraising requirement.
You can make up a team, but within that team, each person must raise their minimum;
they can not share fundraising donations.

STEP #1




Enter Your Contact / Billing Information (*Required)

First Name * Address *
Last Name * Address 2
E-mail * City *
Day Phone * State
Night Phone Zip *

How did you hear about the Ride?


Please note: if you are riding in the benefit, your after party ticket is included in your registration.

If you are registering as an individual or as part of a TEAM or as a FULL TEAM or TANDEM, you have the choice to pay as a team in one lump payment or each individual member can pay separately. Whatever you choose please be sure to put your Team Name on the form. Please click button on right to continue...

If you are purchasing APRES-RIDE PARTY TICKETS ONLY, Please click button on right to continue...







Killington,
Vermont

SATURDAY
JUNE 27, 2015

SPONSORED BY

Long Trail Brewing Coompany