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Down
Stroll and Roll
Bike Ride Registration
Name: ___________________________________________________
Address: _________________________________________________
Telephone Number: _______________________________________
Would you like a shirt ($15.00)? ____________________________
Select shirt size (small-3XL):_______________________________
Paid: __________Cash __________Check
*Need to pay if you want a
shirt
Proceeds
for this event will support the PINK program.
This program pays for women under the age of 50 to have a free mammogram
if they do not have insurance. Make $15.00 checks payable to
No Awards
will be given. Bike ride will be considered a fun ride. ALL RIDERS MUST WEAR
HELMET.
Where: Bonifay IGA Parking Lot
Time: 7:30 a.m.
registration/ 8:00 a.m. event begins
When: March 20,
2010
Sponsors
for this event: Holmes County Health
Department and Tourist Development Council.
Turn in
registration form to Traci Corbin at Holmes County Health Department or mail
P.O. Box 337 Bonifay, Fl 32425.