June 27th 2015
Your e-mail address:
Online pre-registration is $50 per vehicle and $55 on the day of event. Will you be registering online for the Rally?
Number of people attending:
Only one vehicle is allowed per registration.
Year/Make/Model of vehicle:
Will you be making a donation to MOD?
If making a donation, please enter amount:
If you have any additional concerns or questions please feel free to include them here or contact the Fairbanks Offroad Lions at 907-378-8240 or email: email@example.com
Please make all checks payable to Fairbanks Offroad Lions indicating March of Dimes in the For: line, and can be mailed to: PO Box 71456 Fairbanks Alaska 99707, or if arrangements need to be made to receive payment please note above.
After you click the e-mail button the page will refresh with a simplified version of your information. You can print this out to send with your check.