Bike MS - Bike to Create a World Free of MS

2013 MS Bike Prize Form

 

Please Note the Following:

  • If you do not submit this form by June 7, 2013, your prize(s) will be donated back the National MS Society to help the fight against MS.
  • All prizes subject to availability. Prizes are awarded based on money raised for all participant types: volunteer, fundraiser, and unable to ride.
  • PRIZES ARE NOT CUMULATIVE. Orders will be fulfilled approximately 8-10 weeks after the prize deadline of June 7, 2013.

 

 

 

1.  


*2.  


3.  


*4.  


*5.  


*6.  


7.  


*8.  


*9.  


*10.  


*11.  


12.  


13.  


14.
Question - Not Required - Please check all that apply:

*15.
Question - Required - Please select your Fundraising Prize Level






 

Please Select you Preferred Size and Sleeve Preference.

16.
Question - Not Required - Jersey Sleeves:


17.
Question - Not Required - Jersey Size:








18.
Question - Not Required - Bib Short Size:







19.  


   Please leave this field empty