Fall Rally Registration Form.

Mattawa ATV Fall Rally 2009 Early registration before / on September 27th, 2009 *First Name: *Last Name: *Email: *Verify Email: Driver or Passenger: Driver Passenger Gender: Male Female *Street Address: Street Address cont'd: *City: *Province/State: *Postal Code/Zip Code: *Country: *Home Phone: Experience: Please Select One Never_Ever Beginner Intermediate Advanced ATV Make: Please Select One ARCTIC CAT BOMBARDIER HONDA KAWASAKI POLARIS SUZUKI YAMAHA OTHER Model Year: Please Select One 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 or older      Drive System: Please Select One 2 WHEEL DRIVE 4 WHEEL DRIVE TRACKS 6 WHEEL DRIVE OTHER *Will you be carrying a passenger? Please Select One Yes No *Passenger Name (if applicable): Have you ever Attended any prior VMUTS Rallies? Please Select One Yes No Will you be Joining us for Friday's Night Ride? Please Select One Yes No *Full name as it appears on your credit card: Fees:  $50.00  Early Registration (before September 27th, 2009)            $60.00  Registration (at the rally or after September 27th, 2009)            $10.00  Passenger Riders, whose names appear hereon, understand that riding ATVs may be hazardous, and agree to accept full responsibility for their own personal safety and well-being. Riders must carry their own medical/accident insurance, and agree to hold harmless, VMUTS, its officers, and all sponsors, contributors, land management agencies, guides, volunteers and any others who help organize, sponsor or carry out this event. For questions and clarifications please e-mail us at VMUTS or call 705 744-0003.   TOTAL AMOUNT: Copyright VMUTS