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.

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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

Click to Submit form

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