Registration

Registration Information

Please fill out the information below so that you can be registered for the event. Click on the "submit" button to send in registration when completed. Fee is $25.00 for Driver and $15 for the Rider. Pay by check made payable to Exeter Lions Club. Mail Registration to: PO Box 405 Exeter, CA 93221 or pay online through the PayPal Link at the bottom of the page on the "Buy Now" button. Registration after March 7th add $5.00 to each entry.

Driver First Name:
Driver Last Name:
Rider Full Name
Address Street 1:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Evening Phone:
Tee-Shirt Size:
Email:
Comments:	Enter comments here!