BMWMCHR 8-10 October 2010

Chesapeake, Virginia

Beemers and BiPlanes Rally Application


The BMW Motorcycle Club of Hampton Roads sponsors the Rally for fellow motorcyclists and their guests.  On site registration opens at noon on Friday. Pre-registration must be received one week prior to the event. Please fill out one registration form per motorcycle. Participation awards are based on the information from this form, so please complete the entire form.

RALLY FEE:  ADULT: $45, SPOUSE: $45

This page allows for the rally registration of one bike, a RIDER and a SPOUSE a total fee of $90.

 ...

Please provide the following contact information:

Attendees Rider:
Spouse:
Adults over 12 years old:
How many 12 & under attending:
Rider

 

Name Sex (M/F)
DOB  
Street Address
Address (cont.)
City
State/Province   Zip/Postal Code    
Phone Number    E-Mail Address: 
Rider's Club  
Spouse's  Name   Sex: (M/F)
Spouses' Club  
Guest's Name Age
Guest's Name Age
Guest's Name Age
Motorcycle   Make Model Year
Miles Ridden to Rally? Ride to Rally Yes    
Camp with us? Yes   Number of Nights Camping

 

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