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CBR Group Ride SIGN UP Sheet!

Please before you sign up take the poll for which date would be best for you. Also whichever date is chosen the exact day would fall on a weekend. Once a date gets a majority of votes after a 1 month poll period I will give an exact date of the ride.
Please keep in mind even if you sign up for the group ride there may not be enough people in your area to have one. I will however give you the option via PM of the closest group ride to you, and leave it up to your judgement to get to it. The minimum required riders will be three (3) to have an offical CBR group ride. This doesnt mean if theres only two (2) of you I won't tell you theres someone near you to ride with. I will notify anyone who signs up where the meeting place will be held for each area.
The way a meeting place will be decided is by were there majority of people are located. So for example if we have a great deal of people in Jersy and Mass the equal meeting place would be CT. I will find an equal zone for all travelers to meet. The meeting place should only be 2-4 hrs away from the people involved in the group ride.
The following is what I need from anyone who wants to offically sign up. Please include the following information.

For quailty purposes please DO NOT include your street address!
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Name:
Bike:
State:
Zip:
Hours of travel your willing to drive:
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If anyone can could this be made to a sticky?
Any questions please send a pm.