2010 Registration

To join the fun for our 2010 event, fill out the following form below, pay online or send your check to:

Rudys Road Trip

PO Box 214

Deforest, WI 53532

Please fill out a separate form for each person attending so we can make sure that all tickets, shirts, and prizes are accounted for properly. Thank you for your participation, we can't wait to see you on THE TRIP.

$30 pass includes t-shirt, card at each bar, oportunity to win cash/prizes

$50 pass includes t-shirt, card at each bar, oportunity to win cash/prizes, BUS

Last name *

First name

Street

City

State/Province

ZIP/Postal Code

Primary phone

Mobile phone

E-mail address

Birthday

Shirt size: s,m,l,xl,xxl

$30 or $50 pass

Road Trip Pass

Rudy's Road Trip

August 21st, 2010