(PLEASE PRINT CLEARLY. One person per form. Form may be duplicated & emailed) Some items have a discounted price when you pay by check. If mailing a check for payment, find the discounted price on the registration page. (updated 1/4/25)
Beginning of the week transportation (parking in the ending town) ❑ Full Service with transportation on July 19 $615.00 ❑ Transportation Only with trans. on July 19 $275.00 ❑ Camping Support Only All Week $390.00 ❑ Camping Support Only @ $65.00 per day for _______ day(s)
End of the week transportation (parking in the beginning town) ❑ Full Service with transportation on July 26 $615.00 ❑ Transportation Only with trans. on July 26 $275.00
Optional Items: May be added after you are joining us for the week as Full Service or Camping support.
❑ Large “6-person” Tent Rental, setup & teardown, & bag delivery. $565.00 ❑ Small “2-3 person” Tent Rental, setup & teardown, Bag delivery $515 .00 ❑ Additional person in same tent baggage delivery $120.00 (per person) ❑ RAGBRAI Lite (1/2 day ride) ___ride 1st half – ___ride 2nd half $200.00 (week) ❑ Small tent (Rental only) $75.00 ❑ Inflatable Sleeping Pad $95.00 ❑ T-Shirt (choose style/size) Cotton___ or Drifit___ Size:_____ (S-XXXL) $25.00 (S-XL);or $30.00 (XXL – larger)
City: ________________________________ State __________ Zip _______________
Baggage Tag Number (wristband #) ________________ (Please email the number when issued by RAGBRAI in the Spring)
Traveling with (if anyone)____________________
______________________________________________ ______________________________ Signature of Registrant Date
______________________________________________ ______________________________ Signature of Parent/Guardian if Under 18 Date
Please return this form with your check made payable to: “Out of Staters”or “OOS”: Tim Haeffner 101 N. Highland Circle, Mt. Pleasant, IA 52641 We will confirm receipt of payment by e-mail.