Please print, fill-out, and send this registration along with a non refundable
check made out to: Shenandoah Mountain Touring, L.L.C.

Registration is now open and online at bikereg.com or you can print and
mail this form with a check.

Pre-Registration is $45 must be postmarked no later than April 12st, 2013
Onsite Registration is $50

No Refunds
Transfer to another person $20 - 20 days prior to event only
Transfer to another person $50 - within 20 days of the race
We do not carryover entries to another year

Mail to:

Shenandoah Mountain Touring, L.L.C.
P.O. Box 1423
Harrisonburg, VA 22803

Name:__________________________________________________

Age: ________ Sex:_______ Email:__________________________

Street: _________________________________________________

City: ___________________________________ State: __________

Zip: __________________ Shirt Size:_________________________

Phone: Day # ___________________ Evening #_________________

Emerg #_________________ Master 50+? ___ Clydesdale 200lb+ ___

Main Sponsor ___________________________ Singlespeed ? _______12/13/12