Recommitment & BBQ Reservations Form

Cyclist's First Name *

Last Name *

Recommitment Form

BBQ Reservations

In order to properly prepare for our delicious BBQ after the ride, please fill out this form indicating how many guests you will be bringing along. All riders are invited to partake with one complimentary guest free of charge. For additional guests, there will be a fee of $17 per guest.

Please indicate the number of reservations you will need for the BBQ after party below:

Number of Guests: *

Current Total:

$0.00

Guest Name

Recommitment

Have you raised your commitment yet? *

Not sure? Click here and search for your name.

Credit Card Information

Please provide your credit card information below (this is a secure site). In the event that you don't raise the required $400 ($300 for those who registered before the Early Bird Deadline), you will be charged the balance of what is owed below your commitment amount on the day of the event.

Name on Card *

Billing Zip Code *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV code *

Misc.

Please attach any photos of you training for Biker Cholim that you would like to share with us:

Comments: