To be considered for Morales Bikes' support, you must complete this form.
* Required Fields
*
First Name:
*
Last Name:
*
Address:
Apt, Suite, Room:
*
City:
*
State:
Select a State
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*
Zip:
*
Home Phone:
Other Phone:
*
Email Address:
Website:
*
Age:
Grade:
GPA:
*
Years Riding:
*
Years Competing:
*
How Many Times
Per Week
Do You
Practice
:
*
How Many Times
Per Month
Do You
Compete
:
What
Parks
are you a member of:
*
What
Local Parks
do you compete or practice at:
*
Your
Top Three
Finishes
This
Season:
*
Your
Top Three
Finishes
Last
Season:
*
What
Competetions
have you entered in the
past
:
*
What
Local
or
National
competitions do you plan on entering
this season
:
*
Do you have any
other sponsors
(if yes, please list):
*What
Bike Shops
do you buy your bikes and/or parts from?
(at least one is required)
Name:
City/State:
Phone:
Name:
City/State:
Phone:
Name:
City/State:
Phone:
By submitting this form you agree that the information you have provided is accurate and true.
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