Form Mail  for Deaf Historic Route 66 Motorcycle Run

Please put "DOT" to choose

The food committee, Chicago Club of the Deaf, needs to know how many people will show up at the opening ceremony so they can have accurate head counts for food.  How nice of them for providing us with a nice meal!

Yes, you have decided to eat at Di's Den in Chicago on July 18.
No, you have decided not to eat at Di's Den in Chicago on July 18.

If yes, please fill out:  
Be sure to include your last name, even type correct with the upper case
     (for example, Paul Stefurak, not paul stefurak). Thank you

What is your full name (biker)?   What State?

What is your rider's full name?   What State?

What is your email address?

If it is done, please click "submit" button below.   The data will be sent to Paul Stefurak.