| First
name: |
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| Last name: |
|
| |
Male
Female
|
| Phone: |
|
| Address: |
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| City: |
|
| State: |
|
| Zip: |
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| Email address: |
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| Club Affiliation: |
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| Motorcycle: |
|
| Camping on site: |
Yes
No
|
| Passenger: |
|
| |
Male
Female
|
| Phone: |
|
| Date: |
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# of Shirts: (no
guarantee that you will get a shirt if you
register after 8/1/11)
(Long Sleeve shirts are $20,
Short Sleeve are $15--plus
$1
if you
use Google Checkout.) |
Long
Sleeve, Small
Long Sleeve, Medium
Long Sleeve, Large
Long Sleeve, Extra
Large
Long Sleeve, XtraXtra
Large
Short Sleeve, Small
Short Sleeve, Medium
Short Sleeve, Large
Short Sleeve, Extra
Large
Short Sleeve,
XtraXtra Large |
| |
Pay via Google Checkout ($47 for one,
$93 for two, plus shirts)
I'll
send a check ($45
each, plus shirts [if any]) to:
Big Bear Rally Registration
PO Box 3320
San Diego CA 92163-1320
|
Submitting this application constitutes an electronic signature to the
following release:
Release
of
Liability: I hereby agree to
hold blameless the sponsors,
owners, lessees, any government agencies, BMW Owners Club of San Diego
Inc.,
South
Coast BMW Riders Inc., BMW MOA, American Motorcyclist Association, Inn
der Bach Resort, and San Bernardino county for any loss or injury to
myself
or my property which may occur due to my voluntary participation in
this event.
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