​Ride for the Relay 2018 

Ride for the Relay Application for the 2018 Reunion

Please highlight the application, print, fill out and mail to the address at the bottom of the application.

2018 Ride Application

​3nd Annual 
"Ride for the Relay Reunion"
June 14 - 17, 2018 
Springfield, Missouri

 
Please mark one of the below:
  Motorcycle Rider (  )
 Passenger on Motorcycle (  )
 Auto Driver (  )
Auto Passanger (  )
 Non-Riding/Driving Sponsor (  )

Name: _____________________________________________________________ 
Address: _____________________________________________________________ 

City/State/Zip Code: ______________________________________________________
 Telephone: (        ) ________, ____________  
eMail Address: _______________________________ @_______________________  
                                                           (     )  $660  Corporate Sponsor                    (     )  $330 Pin Sponsor                                                                              
                       (     )  $132 Non-Rider Gold Sponsor            (     )  $66 Non-Rider Silver                            
                                   (     )  $33 Non-Rider Bronze                          (     )  $35 each Banquet Tickets only                      
 

Motorcycle Rider/Auto Driver Package:  (    )  $132 ---------- T-Shirt Size:  _________ 
Above package includes:  Banquet Ticket, T-Shirt, Patch, Pin, Windshield Decal, 5 Raffle Tickets 

Motorcycle/Auto Passanger Package:  (    ) $132 ---------- T-Shirt Size _________ 
Above Package includes:  Banquet Ticket, T-Shirt, Patch, Pin, 5 Raffle Tickets 

Non-Riding/Driving Sponsor (   )  $66 
Above Package includes:  Banquet Ticket, Pin, 1 Raffle Ticket

Send all Sponsorship Applications to:
Ride for the Relay
c/o Rodger L. Fox
63 East Central Park Plaza
Jacksonville, Illinois 62650

www.ridefortherelay.net 
Make all checks payable to Ride for the Relay or the American Cancer Society