2008 Bike MS Prize Level Selection
Name _______________________________________ Amount Raised ______________Ride _______________ How it works Please indicate below which prize level you qualify for, and wish to receive. You may also choose to donate your prize back to the National MS Society by marking here ___. Thank you for your generous donation! You will then receive a gift certificate for that prize level, which you can use online to choose your prize. To review prizes visit our website at http://nmssbike.summitmg.com. Remember: Prizes are not cumulative (with the exception of the MS Bike Tshirt). Please only choose one prize level.
___Level 1 -$300 ___Level 1A -$600.00 ___Level 1B-$1000.00 ___Level 2 - $800-$1299.99
Official 2008 MS Bike T-shirt (If you did not receive at the bike ride) Size:_______ Official 2008 MS Prize Jersey (If you did not receive at the bike ride) Size:_______ Official 2008 MS V.I.B.E. Jersey V.I.B.E.S will also receive incentives prior to and during the bike ms ride. Bike MS Pullover Jacket, CamelBak FlashFlo Lumbar Pack, Fossil Leather Womens Wristlet, Hamilton Beach 3 in 1 Hot Beverage Center, High Sierra Sport Duffel, Jensen Emergency Kit, Laptop Accessory Kit, Topeak HighLite Combo, WeatherX MultiFunction Lantern, WrenchForce Big Brother, $50 local bike shop gift certificate Bike MS Fleece jacket, Coby MP# Player with FM Radio, Creative Portable Speakers, Cuisinart Mini -Prep Processor, High Sierra Hydration Pack, Iluv FM Transmitter with Car Adapter for Ipod, Motorola 2 Way Radio, Ralph Lauren Winchester Tote, Skil 9.6V Cordless Drill.Driver, Topeak Prop Shock Mini Pump, Trek Cycle Computer, $75 local bike shop gift certificate DMI Dartboard Cabinet Set, Sony CD Clock Radio, Sony DVD Player, Swiss Army Victorinox Footlocker Duffel, Swiss Army Victorinox WT Messenger, T-Fal Avante Elite Toaster Oven, T-Fal Emerilware Contact Grill, Uniden Digital Phone, Wenzel Beartooth Pentadome, $150 local bike shop gift certificate Brinkmann SmokeN Grill, Canon PIXMA Photo Printer, Coby 7 Portable DVD Tablet, Garmin Forerunner 201, Kenneth Cole Reaction Portfolio, Panasonic Microwave Oven, Pyramat Game Chair, Singing Machine Karaoke System, Sony Mini Hi-Fi Component System, Swiss Army Victorinox 31 WT Wheel Duffel, $225 local bike shop gift certificate OR Tour of Champions Trip to Las Vegas, Nevada This prize is secured through the Mid South Chapter. January 15-18, 2009
___Level 3 - $1300-$2499.99
___Level 4 - $2500-$4999.99
___Level 5 - $5000 - $7499.99
___TOC - $7000+ ___Level 6 - $7500-$9999.99
Cutter and Buck American Classic 20 Duffel, Fuji FinePix Digital Camera, ILuv 8.5 Multimedia Player, Stamina Magnetic Recumbent Bike, Swiss Army Victorinox 22 Trek Pack Plus, Timex Ironman Traithlon Bodylink System, Topeak Bikeamper, Topeak PrepStand Elite, Waring Juice Extractor, Wilson Pro Staff Golf Clubs, $300 local bike shop gift certificate BOB Sport Utility Stroller, Bose SoundDock Digital Music System, FUJI FinePix Digital Camera, Samsung DVD Home Theater System, Soleus Party Fridge, Sony Multi Function DVD Recorder, Stamina, GYROTONIC Transformer 1500, Swiss Army Victorinox Werks Traveler Luggage Set, Topeak Moonshine HID Light, $400 local bike shop gift certificate

___Level 7 - $10,000+

Return the above prize selection form with any additional pledges to the National MS Society by November 7th (This is the prize deadline). Prizes will not be ordered without a selection form.
You must send in your prize form in order to receive your prize certificate.
National MS Society, Mid South Chapter 4219 Hillsboro Road, Suite 306 Nashville, TN 37215 (Fax): 615-269-9470

Level 1 -$300 Level 1A -$600.00 Level 1B-$1000.00
Official 2008 MS Bike T-shirt Official 2008 MS Prize Jersey Official 2008 MS V.I.B.E. Jersey V.I.B.E.S will also receive incentives prior to and during the bike ms ride. Bike MS Pullover Jacket, CamelBak FlashFlo Lumbar Pack, Fossil Leather Womens Wristlet, Hamilton Beach 3 in 1 Hot Beverage Center, High Sierra Sport Duffel, Jensen Emergency Kit, Laptop Accessory Kit, Topeak HighLite Combo, WeatherX MultiFunction Lantern, WrenchForce Big Brother, $50 local bike shop gift certificate Bike MS Fleece jacket, Coby MP# Player with FM Radio, Creative Portable Speakers, Cuisinart Mini-Prep Processor, High Sierra Hydration Pack, Iluv FM Transmitter with Car Adapter for Ipod, Motorola 2 Way Radio, Ralph Lauren Winchester Tote, Skil 9.6V Cordless Drill.Driver, Topeak Prop Shock Mini Pump, Trek Cycle Computer, $75 local bike shop gift certificate DMI Dartboard Cabinet Set, Sony CD Clock Radio, Sony DVD Player, Swiss Army Victorinox Footlocker Duffel, Swiss Army Victorinox WT Messenger, T-Fal Avante Elite Toaster Oven, T-Fal Emerilware Contact Grill, Uniden Digital Phone, Wenzel Beartooth Pentadome, $150 local bike shop gift certificate Brinkmann SmokeN Grill, Canon PIXMA Photo Printer, Coby 7 Portable DVD Tablet, Garmin Forerunner 201, Kenneth Cole Reaction Portfolio, Panasonic Microwave Oven, Pyramat Game Chair, Singing Machine Karaoke System, Sony Mini Hi-Fi Component System, Swiss Army Victorinox 31 WT Wheel Duffel, $225 local bike shop gift certificate OR Tour of Champions Trip January 2009 This prize is secured through the Mid South Chapter. Cutter and Buck American Classic 20 Duffel, Fuji FinePix Digital Camera, ILuv 8.5 Multimedia Player, Stamina Magnetic Recumbent Bike, Swiss Army Victorinox 22 Trek Pack Plus, Timex Ironman Traithlon Bodylink System, Topeak Bikeamper, Topeak PrepStand Elite, Waring Juice Extractor, Wilson Pro Staff Golf Clubs, $300 local bike shop gift certificate BOB Sport Utility Stroller, Bose SoundDock Digital Music System, FUJI FinePix Digital Camera, Samsung DVD Home Theater System, Soleus Party Fridge, Sony Multi Function DVD Recorder, Stamina, GYROTONIC Transformer 1500, Swiss Army Victorinox Werks Traveler Luggage Set, Topeak Moonshine HID Light, $400 local bike shop gift certificate

Level 2 - $800-$1299.99

Level 3 - $1300-$2499.99

Level 4 - $2500-$4999.99

Level 5 - $5000 - $7499.99

Bike ms 2008 PRIZES

TOC - $7000+

Level 6 - $7500-$9999.99

Level 7 - $10,000+
To review prizes visit our website at http://nmssbike.summitmg.com. Remember: Prizes are not cumulative (with the exception of the MS Bike T-shirt). You will only choose one prize level.