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 Truck Registration Page

The form below is for Truck registration.
Every registration gets 1 T-Shirt per Truck.
For additional Driver Names and shirt sizes, please use the comment section on the form, and if you will be wanting additional shirts for people other than drivers, please let us know in the comments as well.
Once you click on submit you will be redirected to our Monetary donation options page.



Truck Registration
 
  Sioux Falls Convoy Participant $100 per truck

Rapid City Convoy Participant $100 per Truck

 Number of Trucks participating: *
Company Name: *
Name: *
Address: *
Address:
City: *
State: *
Zip Code: *
Company Contact: *
Phone: *
Cell:
Fax:
Email:
 Name on Shirt Driver
Company
T-Shirt Size   SmallMediumLargeXL2XL3XL4XL5XL
   
Monetary Donation Options Comments:  Pay with Paypal
Mail in Check
Please send Invoice
Call in Credit Card
Fax in Credit Card
Comments:
   
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