1. complete the order form below

  • for your poker hand, pick 5 numbers, 1-52, with NO DUPLICATES!!

  • FOR YOUR RAFFLE TICKETS, LET US KNOW WHICH OF THE NUMBERED PRIZES LISTED BELOW YOU WANT AND HOW MANY TICKETS YOU WANT TO GO TOWARDS EACH

  • (3 ARE INCLUDED WITH THE PARTICIPANT TICKET, OR BUY EXTRA: 3 FOR $5, 10 FOR $10)

2. click "submit"

1. calculate your total donation amount using the pricing BELOW

2. click the link to firefighters quest for burn survivors 501(c)3  website  to use  their paypal

3. scroll down  & click the yellow 'DONATE'  button 

4. WHERE IT SAYS "ADD NOTE TO SELLER", TYPE "SOCAL BURN RIDE"

5. ENTER TOTAL AMOUNT

PARTICIPANT:     $7

(INCLUDES THREE RAFFLE TICKETS)

ADDITIONAL THREE (3) RAFFLE TICKETS:    $5

BUNDLE OF TEN (10) RAFFLE TICKETS:     $10

ADDITIONAL DONATION   (NO SET AMOUNT - YOU CAN ENTER WHATEVER YOU WANT)

(IF YOU DO NOT WISH TO PARTICIPATE / ENTER TO WIN RAFFLE PRIZES BUT WOULD LIKE TO DONATE ONLY, DO NOT FILL OUT THE FORM - JUST click here)

ORDER FORM
Where will you post the photo from?
Do we have permission to share the photo & tag you?
HOW WOULD YOU LIKE TO BE ADDRESSED ONLINE IF YOU WIN?

Raffle Prize Options:

1. Antelope Valley Harley-Davidson: Custom AV H-D Cooler, Mug, Hat & 2 Koozies

(Items ARE available for pick up or delivery anywhere in the U.S.; NOT redeemable for cash value)

2. Born Free Cycles: Motorcycle Detail - 1.5 hour thorough cleaning for ANY brand motorcycle

(SoCal Locals Only; Motorcycle must be brought to BFC Burbank, CA location; NOT redeemable for cash value)

3. Born Free Cycles: Dyno Health Run

(**Harley-Davidson Motorcycles ONLY**, excludes tuning/adjusting; SoCal Locals Only; Motorcycle must be brought to BFC Burbank, CA location; Winner Must Redeem - non-transferable; NOT redeemable for cash value)

4. Comanche Cycles: 1 Regular Service for Harley-Davidson Motorcycle

(**H-D Motorcycles ONLY** up to $450 of service; SoCal Locals Only; Non-transferable; Bike must be brought to Comanche Cycles' Moorpark, CA location; NOT redeemable for cash value)

5. Comanche Cycles: Free Tire + Mount

(**American V-Twins ONLY** up to $450 total; Non-transferable; Motorcycle must be brought to Comanche Cycles' Moorpark, CA location; specific tires subject to availability; NOT redeemable for cash value)

6. Cycle Gear: Stockton SAE Roadside Toolkit + SpeedMetal XL Motorcycle Cover

(Items ARE available for pick up or delivery anywhere in the U.S.; NOT redeemable for cash value)

7. Let The Wild In Moto Collective: Women's Long Sleeve "Road Crew" Shirt

(Unisex sizing SM-2XL; Size to be determined by Winner; Items ARE available for pick up or delivery anywhere in the U.S.; NOT redeemable for cash value)

 

8. Monster Energy: EITHER - Men's Hoodie (XL or 2XL) + Bandana OR Men's "Full Throttle" Cut (2XL or 3XL) + Bandana

(Items ARE available for pick up or delivery anywhere in the U.S.; NOT redeemable for cash value)

9. Scosche: 6" x 9" 300 WATTS Peak / 75 WATTS RMS 4-way Speakers

(Fits most H-D Baggers [except CVOs] or Car Stereos; Items ARE available for pick up or delivery anywhere in the U.S.; NOT redeemable for cash value)

10. SoCal Burn Ride Swag Bag: Prior Year Ride T-shirt + Patch, FFQ Drawstring Bag + Carabiner, Lowbrow Customs Banner, Pencil + Coaster

(Sizes / Styles limited to availability; Items ARE available for pick up or delivery anywhere in the U.S.)

11. Spyt Shyne: Motorcycle Polish / Wax Products Package

(SoCal Locals Only - items available for pick up only; NOT redeemable for cash value)

12. Stellar Moto Brand: Custom Unisex Hoodie + Checkered Bandana

(Sizes XS-2XL; Size TBD by Winner; Items ARE available for pick up or delivery anywhere in the U.S. or fitting by appointment only at North Hollywood location; NOT redeemable for cash value)

PLEASE DON'T FORGET TO CLICK THE LINK BENEATH THE SUBMIT BUTTON TO PAY FOR YOUR TICKETS VIA OUR SECURE PAYPAL PAGE.

THANK YOU AGAIN FOR PARTICIPATING IN THIS YEAR'S BURN RIDE 7!

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CLICK THIS LINK TO FFQ SECURE WEBSITE & COMPLETE YOUR REGISTRATION!

https://www.firefightersquest.org/

SoCal Burn Ride

is presented by

Firefighters Quest for Burn Survivors

a California 501(c)(3) nonprofit organization

Fed. Tax ID 95-4615023

info@socalburnride.com

(424) 781-7757

"Riding to benefit burn survivors"

let's ride.