POKER RUN REGISTRATION

ATTENTION: You must fill out all information before you can submit your registration. This form is for registration only. If you do not fill out all sections you will not be registered. This is not a submittal form for T-shirt orders. We have received incomplete forms and do not know to whom they belong. If you have not received confirmation of your registration within 48 hours of submitting this form, please register again. All registrations are considered complete when your registration fee is received. Payment can be made via this website using Google Checkout or you can pay be personal check by mailing your registration fee. Detailed information can be found at http://www.militarymissionsonline.com/artillerypokerrun.htm.

This is a ride at your own risk event! You and your rider must sign a waiver on the day of the event!

*RIDER'S NAME *EMAIL ADDRESS *STREET ADDRESS *PHONE NUMBER *CITY, STATE, ZIP *T SHIRT SIZE *This is a "ride at your own risk" event. *To qualify for the pre-registration fee of $25.00, we must receive payment by June 12, 2010. Online payment can be made through Google Checkout. If you prefer to pay by personal check, please make check out to Military Missions Inc.