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September 21, 22, and 23, 2012
Rally registration is $35.00
pre-registration, (before Sept. 10th), $45.00 after Sept. 10th or at the gate.
Rally will be limited to 200 entrants.
Click for a list of area lodging...
Print this page out and
use this registration form...
MAIL REGISTRATION AND CHECK
PAYABLE TO:
BMW Riders of Western
Colorado #270
P.O. Box 3271
Grand Junction CO 81502
To ensure correct address, please print legibly or type
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Address
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E-Mail Address:
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Passenger/
Second Rider
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Address,
if different
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Kids names
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Motorcycle[s]
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makes/model/years
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TOTAL ENCLOSED
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Disclaimer:I
hereby agree to hold blameless the sponsors, owners, promoters and tenants
of the premises for any loss or injury to myself or property in which I
may become involved by reason of my voluntary participation in this
event. I understand that I must sign a complete waiver at the time of
registration. Participants under the age of 18 must have the signature of
a parent or guardian.
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Signature:
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Signature:
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