Registration Form

Name *

Your Cell Phone *

Emergency Contact *

Contact Cell Phone *

Gender *

Benz Riding Kit:
Please select one size for the top (jersey) and bottom (short).

Jersey *

Short *

Bike Size

Your Height *

Inside Leg Length *

I will bring my own bike? *

Pedals & Clips

I will be riding: *

What type of pedal will you need?

Look Keo, Shimano SPD, Speedplay, Shimano SPD SL

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