Georgian Bay Thunder Motorcycle Ride

Registration Form
Saturday July 10th, 2010
(rain date Sunday July 11th)

Start Location:
 Jack n’ Jill Recreation, 105 Fourth St., Midland
Cost:
 $35 for Rider - $45 for Rider AND passenger
$80 for 2 Riders AND 2 passenger under 16)
NOTE:

Information provided here will be printed on your waiver form which you WILL be required to sign before you ride..
Participant Information

Name:
Address:
City:
Postal Code:

Home Phone:

Daytime Phone:

Email Address:
Passenger's Name:

Payment (select 1):
On-line I will pay on-line (after I submit this form)
At event I will bring payment to the event

Comments:

Please NOTE: Click the submit button only ONCE.
 Thank You!