Print Registration Form

2023 OOS RAGBRAI Registration Form

(PLEASE PRINT CLEARLY. One person per form. Form may be duplicated & emailed)       Discounts shown for cash or check payment. (updated 2/4/23)

Beginning of the week transportation (parking in the ending town)
❑ Full Service @ $520.00 with transportation on July 22           (Cash/Check $495)  SOLD OUT
❑ Transportation Only @ $260.00 with trans. on July 22           (Cash/Check $250)  SOLD OUT
❑ Baggage Support Only All Week @ $295.00                                  SOLD OUT
❑ Baggage Support Only @ $45.00 per day for _______ day(s)      SOLD OUT

End of the week transportation (parking in the beginning town)
❑ Full Service @ $520.00 with transportation on July 29             (Cash/Check $495) SOLD OUT
❑ Transportation Only @ $260.00 with trans. on July 29            (Cash/Check $250) SOLD OUT

Optional Items:

❑ T-Shirt $25 (check style): Cotton____ or Dri-Fit____   Size:____  (S – XXXL)

❑ Kelty Trail Ridge 6 Tent Rental, set-up & teardown $365.00                 (Cash/Check $345)  SOLD OUT
❑ Small Tent Rental, set-up & teardown  $315.00                                         (Cash/Check $295)  SOLD OUT
❑ Set-up & Teardown of (Your Tent)     $265.00                                             (Cash/Check $245)  SOLD OUT
❑ Small Tent Rental  $55.00                                                                                 (Cash/Check $50)  SOLD OUT

Name: ______________________________      Phone: ______________________________                                              Address: ____________________________     E-Mail:___________________________________________                      City: ________________________________      State __________        Zip _______________

Baggage Tag Number (wristband #) ________________                    (if you register before May 1st this number must be emailed when issued)

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. If you don’t have an e-mail address, include a self-addressed, stamped business size envelope.