Form for Scheduling state level or local VRCC Ride or Event

Name of the Event/Ride
Date of the Event/Ride	Month Day Year
Last Date of the Event/Ride if more than one day	Month Day Year
Location of Event or Start of Ride & Start Time
Location of End of Ride
Description of Event/Ride
Name of State Rep		State rep should be aware of event Look up state rep click here
Name of Chapter/Area Rep		Chapter/Area rep should be aware of event Look up chapter/area rep click here
Name of Event Coordinator*
Email of Event Coordinator
Event Coordinator member number	Password	click here to look up your member number click here to look up your password
Request for Event and Rider Services. Select just the services you require: 1. Make a webpage for this event or ride 1.a Include Sign-Up Form? (results emailed to named coordinator) 2. We already have a webpage for the event. Put this link on the VRCC Web Site (listed here) 3. Announce our event or ride on the Valkyrie Rider Cruiser Club's website 4. Contact VRCC supporting vendors to provide "give-aways" merchandise 5. Create a graphic/art package for our event for marketing and embellished goods (such as t-shirts) #6, This option requires a minimum order of items and a lead time of 3 weeks NOTE: All of these above services are completely optional, and you as a ride coordinator may elect not to use any or all of the selections listed above..
Address To Send Materials to...	Street City	State Zip

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