Ride 4 Smiles 2012

Sign up Today!

The first 100 riders to sign up and pay will receive a custom designed pin commemorating the Ride 4 Smiles!

Your $25 Pre-registration fee includes: 3 Poker hands, Ride 4 Smiles Pin, Lunch,
Photo of You on Your Bike, & Door Prize Ticket. If you will have a rider with you,
you can purchase an extra lunch provided by Texas Roadhouse for $5.

Please provide the following contact information:

Name
Street Address
City   State   Zip  
Home Phone   Cell Phone 
Number of Bike Drivers        Will you have a passenger?  
     
E-mail Address
How did you hear about our ride?

Select any of the following options that apply:

Please reserve a spot for me.  I will send a check to
      FACES; P O Box 11082; Chattanooga, TN 37401.

Please reserve a spot for me.  I am paying online by credit card.