The Bike Detail Service Selection Page

Name:                                                               Email:                                                 .

    Service                         Price                             Quantity                    Total

Coffee Detail        

Washington @ $ 22.00         X                      _____                _______

Oregon @ $ 25.00          X                      _____                _______

Chair Detail   

Washington           @   $ 22.00        X                      _____                _______

Oregon                 @   $ 25.00        X                      _____                _______

Total Prepaid enclosed                                                                     $ _______

(Chair Deposit)*     @   $ 20.00       X                     _____               ____*__ See note below

· Chair deposits will be collected onsite during registration*.     

Step 4.  Make your check payable to: Harold Clayton TBD

Step 5. Mail to  H. Clayton

P.O. Box 122142 San Diego, Ca. 92112

(Please note – enclose a copy of this Service Selection Page with your check)

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