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To register, please complete this form, print it out and then mail it, along with your check to the address below.

Name:

E-mail Address:

Phone:( ) -

Cell phone:( ) -

Street Address: 

City:

State (abbr):

Zip:

City of Entry: 

City of Exit:  

Please indicate shirt size for free shirt: 

T-shirt:  Long Sleeved              Short Sleeved

Tank Top:  Men’s cut               Women’s cut

 

Second Registration:

Name:

E-mail Address:

Phone:( ) -

Cell phone:( ) -

Street Address: 

City:

State (abbr):

Zip:

City of Entry: 

City of Exit:  

Please indicate shirt size for free shirt: 

T-shirt:  Long Sleeved             Short Sleeved

Tank Top:  Men’s cut                Women’s cut

If your registration is received before July 15, 2010, you will receive a free shirt.  You can purchase additional shirts below.  The full week registration includes a ticket to the farewell banquet.

FEE CALCULATION:

Full Week: people x $125 ea
Shuttle –
    Muscatine, IA to Dubuque, IA:
                        Shuttle people    x $25
                        Shuttle boats      x $25
Daily: people x $25 ea day x days
Canoe/kayak Rental  *(mark choice below)
                        $35 per day x days

Farewell party August 7 for daily paddlers and

            non-registered guests

            (Party is included in 7 day fee!!)

                         people x $15 ea

= $


= $
= $
= $

= $



= $

Sub Total Fee :  $

* Canoe / Kayak Rental ( Please indicate your choice):

 Tandem Canoe(2 people)     Solo Canoe(1 person)

 Tandem Kayak(2 people)     Solo Kayak(1 person)

Additional shirts may be purchased.  Please indicate quantity and size below:

            Men’s Cut Tank Tops:
small tank x $15 ea
medium tank x $15 ea
large tank x $15 ea
extra large tank x $15 ea
extra extra large tank x $15 ea


= $
= $
= $
= $
= $

Total = $

            Women’s Cut Tank Tops:
small tank x $15 ea
medium tank x $15 ea
large tank x $15 ea
extra large tank x $15 ea
extra extra large tank x $15 ea


= $
= $
= $
= $
= $

Total = $

 

                        T-Shirts:
small shirt x $15 ea
medium shirt x $15 ea
large shirt x $15 ea
extra large shirt x $15 ea
extra extra large shirt x $15 ea


= $
= $
= $
= $
= $

Total = $

                        Long Sleeved Shirts:
small shirt x $15 ea
medium shirt x $15 ea
large shirt x $15 ea
extra large shirt x $15 ea
extra extra large shirt x $15 ea


= $
= $
= $
= $
= $

Total = $

Total Fee :  $

For Day by Day paddlers, please check the days you wish to paddle:
( Saturday, July 31st, 2010 is the shuttle from Muscatine, IA to Dubuque, IA )

August 1, Dubuque(Mud Lake) to Massey Marina (16 miles)
August 2, Massey Marina Park to Bellevue, IA ( 17 miles )
August 3, Bellevue, IA to Sabula, IA ( 21 miles )
August 4, Sabula, IA to Clinton, IA ( 14 miles )
August 5, Clinton, IA to Le Claire, IA ( 22 miles )
August 6, Le Claire, IA to Andalusia, IL ( 24 miles )
August 7, Andalusia, IL to Muscatine, IA ( 18 miles )

To register, please print out and complete this form. Then, send your form and check to:
Great River Rumble, P.O. Box 3408, Dubuque, Iowa  52004-3408

If you have any questions, please call or write:

Snail mail: Great River Rumble, P.O. Box 3408, Dubuque, Iowa, 52004-3408

Or Call: Rex Klein (708) 747-1969