September 24, 25, and 26, 2010

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

 

First

 

Last

 

 

 

Address

Street

 

City

St

Zip

E-Mail Address:

Passenger/

Second Rider

First

Last

 

 

 

Address, if different

Street

 

City

St

Zip

Kids names

 

 

 

 

 

Motorcycle[s]

makes/model/years

Emergency contacts: ____________________________________

_________________________________________________

_________________________________________________

TOTAL ENCLOSED

 

 

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.

Signature:

 

 

 

 

 

Signature:

 

 

 

 

 

 

Please don't forget to mail in the form.

 

You can pay using PayPal by clicking the Buy Now below. Just don't forget to fill out and mail the above registration form.

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