Q Online Form Check Needed 2019

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Registration Information
Registration will be open from 8 to 11 am at Huntington Beach Central Park, 6630 Lake View Dr., Huntington Beach, CA., where we’ll have coffee and donuts. At the end of the ride we’ll provide lunch and fun games along with our Cash Prize drawing, and multiple Grand Prize Drawing (which you must be present to win). For info call Janieta Villagrana (562) 324-4414 ***IMPORTANT**** THIS FORM WILL BE SENT TO Janieta Villagrana & Sandra Watts Mail Checks to: Sandra Watts, 10550 Western Ave SP 140 Stanton, CA 90680, make checks payable to CA1-Q.For more info call Sandra Watts 714-333-5755 ** YOUR REGISTRATION WILL NOT BE COMPLETE UNTIL WE HAVE RECEIVED YOUR FUNDS BY April 8, 2019
Email Address for reciept of this form

IF YOU DO NOT PROVIDE AN EMAIL ADDRESS YOU WILL NOT GET A COPY OF THIS FORM
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GWRRA #
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CO-RIDER First Last
GWRRA #
Additional Registrant First Last
GWRRA #
Address *
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PLEASE READ and Sign Below
We the undersigned, agree to comply with the ideals governing this event and to hold harmless the GWRRA, co-sponsoring organizations and property owners for any loss or injury to myself or property in which I/we may become involved and I/we agree to assume responsibility for any property which I/we knowingly damage.
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