Rally Registration - May 18, 19, and 20, 2012

Pre-Registration Fees: $40.00 if received by May 11, 2012. Children 13 years of age and younger are admitted for free. No refunds unless rally is cancelled in its entirety. Registration at the gate: $45.00

2012 European Riders Rally Registration

Complete the form and click continue below. You will get a chance to review your input before final submission. You may pay via Credit Card or PayPal.

Rider Name * First Last
Enter the name of the rider.
Rider Gender * Male Female
Enter the gender of the rider.
Rider age *

Enter the age of the Rider.
Rider shirt size

Select the T-Shirt size for the rider.
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Enter your complete address.
Email *

Enter your email address.
Day Phone * - (###) - ### ####
Enter your day-time phone number.
Night-Cell Phone * - (###) - ### ####
Enter your night-time or cell phone number.
Make and model of the bike ridden to the Rally. *

Enter the make and model of the bike ridden to the Rally.
Will a passenger be attending also? * Yes No
Indicate if a passenger will also be attending the Rally.
Passenger Name First Last
Enter the passenger name.
Passenger Gender Male Female
Select the passenger gender.
Passenger age

Enter the age of the Passenger.
Passenger shirt size

Select the T-Shirt size for the passenger.
Club Affiliation * BMWMOA BMWRA AMA Ducati Club Triumph Club None of the above
Place a check by all clubs with which you are affiliated.
Club Affiliation Other - If none then enter none. *

List other clubs with which you are affiliated. If you are not affiliated with another club, then enter none.
Will you be camping? * Yes No
Rider's preference for Saturday night's dinner? * Chicken Beef
Does the Rider prefer Chicken or Beef for Saturday night's dinner?
Passenger's preference for Saturday night's dinner? Chicken Beef
Does the Passenger prefer Chicken or Beef for Saturday night's dinner?
Comments

Please enter your optional comments.