Printable Registration Form

Please print.  A separate form must be filled out for each Rider (The Rider is the driver of the
motorcycle).  If there are Co-Riders (passengers) or other family members, their information may
be included on the same form as the Rider.

Riders Name
Last _____________________________  First ____________________________  MI ___

Nickname _______________________  email address ____________________________

VOAI Member Number _____________

Street Address ____________________________________________________________

City ____________________________  State _____ Zip _________  Country ___________

Home Telephone Number (____)____________

Additional  Attendees (Non-Riders)

Last ______________________________ First _____________________________ MI ___

Last ______________________________ First _____________________________ MI ___

Last ______________________________ First _____________________________ MI ___


Registration Fees:

$5.00 for each Motorcycle
Please Mail Form and Check or Money Order made out to VOAI to:

VOAI Reunion Registration, P.O. Box 575, Lakehurst, NJ  08733