Tour de Timor Registration Form

A bike ride in support of the people of East Timor

 

Rider Name_____________________   Phone _________________

 

Address___________________________________  E-mail_________________

 

Use this form to collect donations from your friends, family and coworkers. (Kids 12 and under ride free.) Bring this form and your donations on the day of the ride. Collect donations of $25 or more and you'll get a free t-shirt! All proceeds directly benefit solidarity programs for the people of Ainaro, East Timor.

 

Name of Sponsor

Address

Phone

Donation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Checks may be made to “ETAN/Madison”

 

ETAN/Madison meets the 1st and 3rd Thursdays of each month, 7:30 pm at Mother Fool’s Coffee Shop

 

For more information

madison@etan.org // (608) 241-2473 // www.aideasttimor.org