BMS Cycling

Central Coast Double Century

Courtyard
by Marriott
120 S. Vine Street
Paso Robles,
CA 93446
(805) 239-970

BestBikeZone
712 Paso Robles St.
Paso Robles,
CA 93446
(805) 237-2453
(877) 944-2453

K-Man's Cyclery
9530 El Camino Real
Atascadero, CA.
93422
805-461-8735

Ultra Cycling

E-CAPS

Hammer-Gel

Click on images
above to visit
our sponsors.

2009

The 17th Annual CCD Stage ride.
Ride Date: May 7, 2011

CCD & CCC
2009 Jersey / Tee-Shirt Order Form

Front Back

Art, Layout and Design by Ken Schwab

Tee-Shirt design will be posted soon. On back of the tee-shirt, it will have the same graphics as the BACK of the jersey.

One Person Per Entry

We can not provide the convenient means of credit card usage due to overhead.

2009 CCD Jersey:............... $65.00
Jersey Shipping (USA & CANADA):...7.50

Tee Shirts:........... $13.00 - $14.00
Tee Shirt Shipping (USA & CANADA):5.00

Jersey and Tee Shirts Shipping:.$10.00
(USA & CANADA)

NO SHIPPING CHARGE IF YOU ARE PICKING
UP YOUR JERSEY ON DAY OF RIDE.

After filling out the order form, check total and send
money order, cashiers check or personal check to:

BMS Cycling
c/o Brian Stark
4148 Las Tablas Willow Creek Rd.
Paso Robles, CA 93446

Make checks payable to " BMS Cycling "

Do Not Send Cash!

Please fill out the from below.
Fields in Yellow are required.
Provided information will be kept strictly confidential.
No information will be used for any type of solicitation.

First Name:
Last Name:
E-Mail Address:
Street Address:
PO Box :
City:
State / Providence:
Zip:
Country:
Phone #: (805-555-5555)
Gender:	Male Female (For Jersey Selection)
Special Instructions:

T-Shirts are to be
picked up at check-in.

Please Accurately Check
All Appropriate Boxes

Jersey Order
Jersey Size	Cost Each	Quantity
Jersey Size	Cost Each	1	2	3
Small	65.00	65.00	130.00	195.00
Medium	65.00	65.00	130.00	195.00
Large	65.00	65.00	130.00	195.00
X-Large	65.00	65.00	130.00	195.00
XX-Large	67.00	67.00	134.00	201.00
Tee Shirt Order
T-Shirt Size	Cost Each	Quantity
T-Shirt Size	Cost Each	1	2	3
Small	13.00	13.00	26.00	39.00
Medium	13.00	13.00	26.00	39.00
Large	13.00	13.00	26.00	39.00
X-Large	13.00	13.00	26.00	39.00
XX-Large	14.00	14.00	28.00	42.00
SHIPPING or PICKUP Jersey Shipping $7.50 Tee-Shirt Shipping $5.00 Jersey with Tee-shirt Shipping $10.00 . . . . Pickup at Day of Ride $0.00
Your total is:

Click Once Only

Donate to
the CCD
Website

Author: L. Sarver

Last Modified :06/03/10 08:11 PM

2009

CCD & CCC 2009 Jersey / Tee-Shirt Order Form

CCD & CCC
2009 Jersey / Tee-Shirt Order Form