15th Annual Tour de Braz Bike Ride Mail In Registration Form

Bike Ride Pricing - Please Select One
[ ] Individual (Single Rider) - $35.00
[ ] Tandem (2 Riders 1 Bike) - $50.00
[ ] Family (Maximum 4 Riders) - $75.00
Only 2 T-Shirts Per Family Registration

Please select the ride routes each rider will be participating in:
[ ] 10 Mile [ ] 30 Mile [ ] 50 Mile

[ ] 62 Mile [ ] 100 Mile

Please indicate the number of each T-Shirt size per rider.
ADULT SIZES ONLY - LIMIT 2 T-SHIRTS
[ ] Small [ ] Medium [ ] Large

[ ] X-Large [ ] 2X-Large

METHOD OF PAYMENT
[ ] Cash (Please Do Not Send Cash In The Mail)

[ ] Check (Make Payable To AMCC)

[ ] Visa [ ] Mastercard

Card Number: __________________________________

CVV Code: ___________ Exp Date: ___________

Signature: ______________________________________

RIDER INFORMATION

Bike Club (if any): _______________________________________

Rider #1 Name: ______________________________________

Street Address: ______________________________________

City, St, Zip: ________________________________________

Email: __________________________________

Phone: __________________________________

ADDITIONAL RIDERS

Rider #2 Name: ______________________________________

Rider #3 Name: ______________________________________

Rider #4 Name: ______________________________________

EMERGENCY CONTACT INFORMATION

Name: _______________________________________________

Phone: ______________________________

Please send or deliver registration form with fees to:

Alvin-Manvel Area Chamber
105 West Willis
Alvin Texas 77511

Email:
Phone: 281-331-3944
Fax: 281-585-8662

Safety Rules	Ride Assistance
ANSI or Snell approved safety helmet is required and must be worn by all. Riders must obey all traffic laws at all times. Riders should stay to the right side of the road. All routes close at 4:00pm. Ride will be held rain or shine. All riders should carry water and drink plenty of fluids. Have your bike inspected for proper mechanical condition at your local bike shop prior to the ride.	Rest stops will be located every 10-14 miles offering water, drinks, snacks, minor medical assistance and bike assistance. SAG wagons will provide minor roadside assistance and rides to the nearest rest area where assistance back to the College will be provided.