Electronic  Registration Form

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.
Registration Fee:  $5.00 per Motorcycle
MI
MI
MI
MI
Riders Name
Last
First
Nickname
 e-mail address
VOA #
Address
State
 Zip
City
Country
Home Telephone Number
Additional Attendees (Non-Riders)
Last
 First
Last
 First
Last
 First