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Blu Genes Foundation | Kit Sponsor Information Form
Order Number:
Company Name:
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Full Name:
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Email Address:
Phone Number:
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Pace Group: —Please choose an option—23 km/hour – 25 km/hour26 km/hour – 28 km/hour29 km/hour – 30 km/hour
Gender: —Please choose an option—MaleFemale
Clothing Size: —Please choose an option—XSSMLXL
Allergies/Dietary restrictions or any health concerns related to ride we should know about:
Name:
Select number of cyclists —Please choose an option—1234
Select number of lunch invitations —Please choose an option—1234
Username or email address *
Password *
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