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PAY PAL HERE
Registration
Lucky 13 Event Registration
Motorcycle Charity Ride

To Pre-Register and secure your spot, please complete the below form and hit SUBMIT. Please indicate method of payment by listing pay pal, check by mail, or COD. If paying by credit card or pay pal, please use link at right. If paying by check, please mail to

LUCKY 13 FOUNDATION
c/o CHRIS GUILFOIL
91 ATLANTIC AVE
FITCHBURG, MA 01420
  Rider fee $25
Rider Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
  Passenger Fee $20
Passenger Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Motorcycle Information
Make:
Model:
Year:
Plate #:
Method of Payment:
Other Information
Comments:

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