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

Register via BikeReg.com-

Early Registration is $150.00 must be postmarked before March 2nd, 2013
Regular registration is $170 until April 13th, 2013
Late Registration is $190 - ONLINE ONLY - June 1st, 2013
Last minute registration after 9:00 PM June 1st $210 online only

No Refunds
Transfer to another person $20 - 30 days prior to event only
Transfer to another person $50 - within 30 days of the race
We do not carryover entries to another year
We are not responsible for missing drop bags

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: Cell# ___________________ Home #_________________

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

Main Sponsor ___________________________ Singlespeed ? _______12-14-12