The Louisiana Purchase Bicentennial In Arkansas

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Louisiana Purchase - Bicentennial Commemoration - Arkansas Secretary of State's Office - Room 22, State Capitol - Little Rock, AR 72201 - (501) 682-3472 - LAPurchase@sosmail.state.ar.us

"Ride the Ridge" Registration Form - May 10, 2003

To register, complete the form below and hit submit
or print the pdf version of the form fill it out and mail it to:

Arkansas Secretary of State's Office:

Arkansas State Capitol
Room 22
Little Rock, AR 72201
Attention: Kelly Rigby

PDF forms require the free Adobe Acrobat Reader to view or print.

First Name:
MI:
Last Name:
Date:
Street Address:
City:
State:
Zip:
Phone:
Email:

Registrations received by April 25, 2003
will be guaranteed a tee-shirt and goody bag.

	Please mail me a Tour Packet
	Download a Tour Packet in pdf format
	Bike Tour Map (pdf)

PDF forms require the free Adobe Acrobat Reader to view or print.

Waiver of Responsibility

By submitting this registration to participate in the LAPBR, I , for myself, my executors, administrators, and assigns, do hereby release and discharge the Secretary of State's office, Arkansas State Parks and all sponsoring organizations and their agents from all claims or damages, actions and causes of actions whatsoever, in any manner arising or growing from my participation in this event. I agree to wear a helmet at all times and abide by the rules of the road.

Signature:

© Arkansas Secretary of State 2002. A single copy of these materials may be reprinted for noncommercial personal use only. "The Journey Began in Arkansas," the logo of the Louisiana Purchase Bicentennial of Arkansas, and "The Louisiana Purchase Bicentennial Committee of Arkansas" are marks of the Arkansas Secretary of State's Office.