CLICK HERE TO REGISTER ONLINE!

Or...  Register by snail mail

Please print this page, fill out the form, and send it to the address below. 
On a Mac: choose File > Print.  On a PC: Select Control + P.  If you have any trouble with printing, please use the contact form on the "Contact Info" page on this site and we'll help!

Rider’s Name: _____________________________________________

Mailing Address: ___________________________________________  City: ___________________________  State:  ____  Zip: __________

Email:  __________________________________________________  Phone: ___________________________________________________

Check Enclosed:  Yes ____  No ______

Registration fee per rider is $50.  Please make checks payable to:  Deerfield Valley Lions and put HLT in the Memo.  You can mail your registration and pledge
money (do not mail cash) to us on or before September 20th.  Otherwise please bring them to the registration table on the 26th. 

Please mail registration to:

Deerfield Valley Lions
Att: Hungry Lion Bike Tour
PO Box 367
Jacksonville, VT  05342

                                                                                            HUNGRY LION BIKE TOUR PLEDGE SHEET
                                                             (Please copy for additional pledges -- checks payable to Whitingham- Halifax Lions)


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________


Name:  ________________________________________    Address or  email: ______________________________________________   Pledge Amount $ ___________