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YES! I will host RAGBRI Riders in my home

July 20, 2009 Greenfield Iowa

Full Name
Mailing Address
City, State, Zip
Email
Phone#
I can provide:

Tent Camping in my Yard and shower/toilet facilities

IN-house sleeping space and shower/toilet facilities

Motor Home or Van in my driveway and shower/toilet facilities
I have 30AMP Breakers

I have bed(s) available # of double bed(s) # of twin bed(s)

I have room for guest utilizing floor space

Maximum # of overnight guest camping outside at my home

Riders need to bring their own bedding YES NO

PREFERENCES

Smoking is allowed in my home             All Males
Smoking is NOT allowed in my home     All Females
Family/children                                  Mixed male/female

Any other information that would help with matching riders to residence?

Click Submit or
Print and Return form ASAP to:

Gina Wallace
342 Public Square
Greenfield IA 50849
Phone: 641-743-2051