Please press the "Submit" button on the form below before making payment. Payment options follow this form. Registration is complete upon receipt of payment.

Submit the registration form above and make check payable to "ELW Drive for a Cure."  Mail check to:  

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Marianne Rechtoris

3210 Valemoor Drive

Palm Harbor, FL  34685

Submit the registration form above and pay below:

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 by the ELW Drive for a Cure.  All rights reserved.  2019

FLORIDA REGISTRATION NUMBER CH60670:  ACOPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE.  REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE