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Name of Rider ______________________________________________________________

We Think sometimes that poverty is only being hungry, naked, and homeless. The poverty of being unwanted, unloved and uncared for is the greatest poverty! -Mother Teresa. $20.00 per person – Includes Bike Run, Food, and Free T-shirt Pre-Registration - $15.00 per person

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Name of Rider ______________________________________________________________

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  1. We Think sometimes that poverty is only being hungry, naked, and homeless. The poverty of being unwanted, unloved and uncared for is the greatest poverty! -Mother Teresa $20.00 per person – Includes Bike Run, Food, and Free T-shirt Pre-Registration - $15.00 per person Pre-Registration due by July 21st 2012 Name of Rider ______________________________________________________________ Address ____________________________________________________________________ City _____________________________ State _____________________Zip _____________ Phone ___________________________ Cell ____________________________________ E-mail Address ______________________________________________________________ T-shirt size: Small ___ Med___ LG___ XL___ XXL___ ___________________________________________________________________________ Name of Passenger ___________________________________________________________ Address ____________________________________________________________________ City _____________________________ State _____________________Zip _____________ Phone ___________________________ Cell ____________________________________ E-mail Address ______________________________________________________________ T-shirt size: Small ___ Med___ LG___ XL___ XXL___ ___________________________________________________________________________ Checks payable to RI Dream Center (memo: HFH) Mail to: RI Dream Center (memo: HFH) 251 Magnolia Street Cranston, RI 02920 ______________________________________________________________________ The RI Dream Center -Hope For the Homeless is a 501 (C)(3) tax exemption organization. Your donation is sincerely appreciated. For More information contact 401-396-2743 / hopeforthehomeless@ridreamcenter.com

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