Saanich Peninsula Hospital Foundation

Blackberry Ramble Bike Ride 2009

Blackberry Ramble Bike Ride Registration Form

Blackberry Ramble Bike Ride Pledge Form

Blackberry Ramble Bike Ride Online Registration Form for September 13, 2009

From this page you can register online through our secure server. You may also register by phone (250) 652-7531. You may also print out a form and mail us your contribution.

Charitable Organization No.
BN 11913 0540 RR000

= required field

Personal Information:

First Name:
Last Name:
Title:
Street:
City:
Province/State:
Postal Code/Zip Code:
Home Telephone:
Work Telephone:
E-mail:
T-shirt Size:
Have you previously participated in or pledged to the Blackberry Ramble Bike Ride:	Yes No

Registration Fees:

Team Captain Registration (until event day) $30.00
Regular Registration (until event day) $30.00
Family Ride Registration (until event day) $40.00
Winery Tour (until event day) $50.00

Route Info:

Route Selection:

Conclusion:

Allow my name to be displayed in the online participant search by someone who wishes to pledge:	Yes No
How Did You Hear of Us: