Eagle Cycling Club
Ride Reimbursement Voucher

Print out voucher form and bring to the monthly meeting.

CHECK:________________ DATE: ________________

TOTAL CHECK:_______________

$35.00 Cap on all races/centuries
$35.00 Per Day Cap on all Multi-Day Events
$100.00 Cap Per Month

Name: ________________________________________
Event Name: ________________________________________
Event Date: ______________________ Fee: ____________
Century ( ) Race ( ) Multi-day Ride ( )

Name: ________________________________________
Event Name: ________________________________________
Event Date: ______________________ Fee: ____________
Century ( ) Race ( ) Multi-day Ride ( )

Name: ________________________________________
Event Name: ________________________________________
Event Date: ______________________ Fee: ____________
Century ( ) Race ( ) Multi-day Ride ( )

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