JMR Crusade 2017 Pre-Registration Form
                                                  JMR Crusade
                                              June 2nd to 4th, 2017
                                       Southern Missouri Off Road Ranch
                                                     Seymour MO




SORRY, REGISTRATION IS NOW CLOSED.


Jeeping Mid Rivers will be hosting our fifth annual fundraising event this year from June 2-4, 2017 at SMORR!  The event will include guided trail runs, a Dinner for Donations, and Raffle.  Please complete the below form to register for the JMR Crusade.  While registration is NOT required, you get some cool stuff if you do!

Deadline to register is April 25, 2017.  You will receive an email from Jeeping Mid Rivers with the total amount due.  Payment is due on or before April 25, 2017.

Weekend Rate (Wheeling on Friday/Saturday/Sunday):  $87 for driver and $57 per passenger.
Two Day Rate (Wheeling on Friday/Sat OR Sat/Sunday):  $72 for driver and $47 per passenger.
One Day Rate (Wheeling on Friday OR Saturday OR Sunday): $52 for driver and $37 per passenger.

Price Includes:  Wheeling Fees, Event T-Shirt*, and Exclusive Raffle Ticket** for each registered participant.  (*Additional charges apply for sizes 2X and above. **Exclusive Raffle for registered participants only on Saturday, June 3, 2017.  Must be present to win.)

Accommodations:  Reservations and payment for accommodations are NOT included.

Payment can be made via check, cash, or PayPal.  Once we receive your registration submission, we will email you the total due.
1.    Check, payable to Jeeping Mid Rivers, and sent to:
                  Jeeping Mid Rivers
                  Attention Michael Moore
                  134 Emerald Island Lane
                  Wentzville, MO  63385
2.    Cash--In person at JMR Monthly meeting only
3.    PayPal--To JeepingMidRivers@gmail.com (please send money to a friend)

Refunds in full will be given prior to May 1, 2017.  Requests for refunds must be made in writing to JeepingMidRivers@gmail.com.

NOTE*****
Each driver/rig must have a seperate registration.


http://tinyurl.com/JMRCrusade2017
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First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Primary Telephone Number *
Email Address *
Passenger 1 Name
Please include first and last name
Passenger 2 Name
Please include first and last name
Passenger 3 Name
Please include first and last name
Are you attending for weekend or single day? *
Please indicate what day(s) you plan to wheel
Required
T-Shirt Size
Each additional shirt if pre-ordered is $20. if not pre-ordeded price is $25.00. Sizes 2XL to 4XL are an additional $2.00. There will be a limited supply at the event.
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL*
Adult 3XL*
Adult 4XL*
Driver
Passenger 1
Passenger 2
Passenger 3
Additional Shirt 1
Additional shirt 2
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