Utah Meth Cops Project "Ride for a Hero"

FUNDRAISER APRIL 10, 2010

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ONLINE REGISTRATION SYSTEM

**NOTE** Please move your mouse over the round blue Icons for more information on what the expected format is for information entry.

First Name

First Name :: Name you are known by

Last Name

Last Name :: Your legal last name

Phone Number Format xxx-xxx-xxxx Only enter dashes (no dots) between numbers

Phone Number Format xxx-xxx-xxxx Only enter dashes (no dots) between numbers :: Please enter your primary phone number you can be reached at

Phone Number 2 (optional) Please use the same format as for the primary number

Phone Number 2 (optional) Please use the same format as for the primary number :: A secondary backup phone number is suggested

City

City :: The current city you live in

State: Example of accepted entry of State [UT or Utah]

State: Example of accepted entry of State [UT or Utah] :: You may use you States 2 Character State code or spell out the name of your state.

Zip Code 5 digit XXXXX

Zip Code 5 digit XXXXX :: Only use 5 numbers

Email Address1

Email Address1 :: Please enter one email address that you may be reached at. Your email address will not be shared with anyone except through PayPal secure systems. We HATE SPAM and will not share your info or sell it to others.

Optional 2nd Email Address

Optional 2nd Email Address :: We HATE SPAM and will not SPAM you or sell your info to anyone else

Today's Date

Today's Date :: Picking a date additionally verifys that you are not an automated program or BOT

Ticket Registration Preference

Type in how many tickets you want in the box for each selection if selecting more than one.

Ride Only $30.00 Quantity: >>

VIP Event $100.00 Quantity:>>

After you click on Register you will go to our Shopping Cart in STEP 2 and be asked to complete your Payment Details through PayPal.

Image Verification

Image Verification :: Please enter the letters and numbers you see in the image. We wish to express our appology for having you do this but it is to fight the SPAMMERS.