Early Registration / BEFORE September 27, 2008
Instructions: Copy this form and paste it in Microsoft Word. Then fill out relevant information, SAVE AS .DOC, print and attach to email to armaly@efni.com. THANK YOU.
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Name: |
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Mailing Address: |
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Phone Number: |
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E-mail: |
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Machine (Make/Model/Year): |
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Passenger Name (if applicable): |
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2nd Machine:
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Name: |
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Mailing Address: |
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Phone Number: |
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E-Mail Address: |
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Machine (Make/Model/Year): |
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Passenger Name (if applicable): |
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3rd Machine:
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Name: |
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Mailing Address: |
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Phone Number: |
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E-Mail Address: |
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Machine (Make/Model/Year): |
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Passenger Name (if applicable): |
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How many machines will be attending the Night Ride? |
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Have you attended any prior VMUTS rallies? please type ‘yes’ or ‘no’ |
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Early Registration $ 50.00 (Before September 27, 2008)
Registration $ 60.00 (After)
Passenger $ 10.00
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Total Amount: |
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VISA MasterCard
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Name On Card: |
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Name On Card: |
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Card Number: |
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Card Number: |
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Expiry Date: |
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Expiry Date: |
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If you have any questions please e-mail armaly@efni.com.