Pink Ribbons for Life

Pre-registration Form

Fill out this form for EACH participant. This guarantees proper shirt order, a packet for each registrant and a donation receipt for each order.

Cost of $25.00 includes:
• Registration Packet
• Long Sleeve Shirt
• Event Pin
• Meal Ticket
• Raffle Ticket

Shirt Size:

I plan to ride-in from:

Miller’s Ale House - Orlando Florida Mall O.B.T.

Stormy Hill Harley Davidson - Clermont

East Orlando Harley Davidson (parking lot) - Orlando

Seminole Harley Davidson - Sanford

Backyard Boys Bar-B-Que - Mt. Dora

Destination Daytona HD Dealership - Daytona

Harley-Davidson of New Smyrna Beach - New Smyrna

Other

MYOB - I'll see you at Cowboys!

You will be directed to PayPal® for payment. You do NOT need to have a PayPal® account to register/pay for this event. Simply click where it says to use a credit card or bank account and follow the payment instructions. PayPal® uses secured encryption to protect your financial information.

Thank you for pre-registering for the 6th Annual Pink Ribbons For Life Event!

The Chrome Angels of Central Florida do not collect or have access to any of your financial information used in this transaction. We value your privacy and will not share your email or personal information with others.