VMUTS 2008 Fall Rally

 

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.

 

Name:

 

Mailing Address:

 

Phone Number:

 

E-mail:

 

Machine (Make/Model/Year):

 

Passenger Name (if applicable):

 

 

2nd Machine:

 

 

Name:

 

Mailing Address:

 

Phone Number:

 

E-Mail Address:

 

Machine (Make/Model/Year):

 

Passenger Name (if applicable):

 

 

3rd Machine:

 

 

Name:

 

Mailing Address:

 

Phone Number:

 

E-Mail Address:

 

Machine (Make/Model/Year):

 

Passenger Name (if applicable):

 

 

 

 

How many machines will be attending the Night Ride?

 

Have you attended any prior VMUTS rallies? please type ‘yes’ or ‘no’

 

 

 

 

 

Early Registration     $ 50.00   (Before September 27, 2008)

Registration               $ 60.00   (After)

Passenger                   $ 10.00

 

Total Amount:

 

 

VISA                                                                                     MasterCard

 

Name On Card:

 

 

Name On Card:

 

Card Number:

 

 

Card Number:

 

Expiry Date:

 

 

Expiry Date:

 

 

If you have any questions please e-mail armaly@efni.com.