Law Enforcement Ride to benefit WI Chapter for C.O.P.S.

Fill out completely and sign to register for the 2022 Law Enforcement Ride on June 4th, 2022, at the House of Harley-Davidson!

Rider's Name * Passenger's Name Primary Address * Phone Number * Email Address *

Cost *

Rider Only ($25 USD) Rider with Passenger ($35 USD)

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Pancakes from Hotcakes on the Go (Available 8am-10am only) Rider ($6 USD)Rider with Passenger ($12 USD)No thanks Rider's Signature *

Date: Wednesday, 18 May 2022 (EDT)

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Passenger's Signature

Date: Wednesday, 18 May 2022 (EDT)

Name:

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Typing name is equivalent to a handwritten signature

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