Registration Thank you for your interest in joining us for Bike Zambia 2013! Bike Zambia 2013 Rider Thank you for your interest in joining Bike Zambia - the ride to raise awareness of poverty and AIDS in Africa! By filling out this form and completing the registration fee you will be securing your spot on the ride this upcoming June/July. We look forward to working with you in the months leading up to the actual ride through fundraising, group events, and training rides (for those in the bay area). Most importantly, we like to keep the planning and delivery of the event itself a very inclusive process, which means we would love to have your help along the way to make this ride happen! Bike Zambia 2013 Rider * BZ 2013 Rider - $ 125.00 Email Address * Rider Registration First Name * Last Name * First and last name will be shared with other visitors to the site.Street Address (Home)City (Home)Postal Code (Home)Country (Home) - select - United States Your state/province and country of residence will be shared with others so folks can find others in their community.State (Home) - select - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Phone (Primary) * How did you hear about Bike Zambia? * Why are you interested in joining Bike Zambia? * What inspired you to join the ride and what do you hope to get out of it? Tell us a little bit about your level of cycling experience. * Are you a beginner? Commuter? Or avid cyclist with lots of touring under your belt? Do you have experience riding a road or mountain bicycle? From what country was your passport issued? * If you do not yet have a passport, please enter 'None.' What is your fundraising goal? * Minimum of $3,500.00 is required.Are you interested in volunteering your time and efforts to help with planning? (If yes, please indicate which fields)Ride Operations, Logistics, & SafetyFinance & BudgetingSeeking SponsorshipsGroup FundraisingMarketing, Communications, & PRLegal SupportNo thanks!Additional Comments Help spread the word Please help us and let your friends, colleagues and followers know about our page : Bike Zambia 2013 Registration You can also share the below link in an email or on your website. http://www.chooda.org/blog/?page=CiviCRM&q=civicrm/contribute/transact&reset=1&id=2