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EVENT REGISTRATION
**FEES ARE NON-REFUNDABLE**
*First Name
*Last Name
*Address
*City
*State
*Zip
*Phone Number
*Email Address
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*License Plate
*Emergency Contact Name
*Emergency Contact Phone
*Riding Level
Choose a Riding Level
A - Expert
B - Intermediate
C - Novice and Adventure Bikes
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Motorcycle Make
Motorcycle Model
Motorcycle Year
Engine Size
Your Age
**SELECT ITEMS FROM THE DROP DOWN LISTS**
Registration (Choose Only One)
AT EVENT, 2-DAY REGISTRATION $270.00
AT EVENT, 1-DAY REGISTRATION $210.00
Days Participating
Choose Days
Saturday
Sunday
Both
Sub-Total:
PISTON KRISTIN DISCOUNT
Extra Breakfast & Banquet (Breakfast and Banquet are included for registered participants)
and SHIRTS
Choose Extra Meals
extra breakfast 1 day $10.00
extra breakfast 2 days $20.00
extra breakfast 1 day + extra banquet $40.00
extra breakfast 2 days + extra banquet $50.00
extra banquet only $30.00
EVENT T-SHIRT (Choose Size)
S $8.00
M $8.00
L $8.00
XL $8.00
2XL $8.00
EVENT LONG SLEEVE TEE (Choose Size)
S $14.00
M $14.00
L $14.00
XL $14.00
2XL $14.00
EVENT SWEAT SHIRT (Choose Size)
S $18.00
M $18.00
L $18.00
XL $18.00
2XL $18.00
Tucson Dual Sport Jersey (Choose Size)
S $25.00
M $25.00
L $25.00
XL $25.00
2XL $25.00
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Comments
Registration Grand Total:
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