1^st Annual Spring Ahead for Autism Bike Run

April 21, 2012

Sign Ups are 10 am – Noon at The Pennsville Moose

117 South Hook Rd., Pennsville, New Jersey 08070

$25.00 Drivers/$25.00 Passengers/$15.00 Walk-Ins

All vehicles welcome

The fee includes food, water, soda, games and entertainment.

Last Card in by 4:00 pm

Festivities start at 1:00 pm

Bike Games and Prizes

Breakfast Sandwiches will be for purchase.

Rain date April 22, 2012

Contact Tricia (856) 981-4222 or the Lodge (856) 678-5050

for additional information.

A Bike Run to benefit The Salem County Center for Autism is being organized by the Pennsville Moose Lodge.  The Salem County Center for Autism is a 501C3 and funds used to sponsor the Bike Run are tax-deductible.

The cost to be a sponsor on the back of the event shirt is a minimum of $100.00 and can be in the form of cash, check or money order.  Any donations are welcome.  Donations of $25.00 - $99.00 will receive Honorable Mention.  Please check that the spelling of the name you would like to have on the back of the event shirt is correct.  We are not responsible for errors on the application.  The date of the event is April 21, 2012 with a rain date April 22, 2012.  Please keep a copy of this as your receipt for your records.

Form of Payment: _______________________________

Date:  _____/_____/_____

Name: ____________________________________________

Name how it will appear on the back of the shirt:

Phone: _____________________________

Donation amount: $___________________