Registration Form

 
Name:  
Address:  
City/State/Zip:        
Email:  
Phone:  
Age:    
Departure Location :   Goshen, Indiana       Rosedale, Ohio
T-shirt Size:    Each rider will receive a FREE t-shirt as a thank you for participating in the ride.

This year as a SPECIAL GIFT, rider who raises $1,000 or more will recieve a RFM Cycling Jersey custom designed for the event. Jerseys are also available for purchase ($50-$60) for those who do not raise $1,000. Please let us know in advance if you are interested in the jersey challenge.
Yes, I want a jersey either way
I want a jersey only if I reach the $1,000 challenge.
Not interested
 Jersey Size: