Big Bike Weekend
October 10-12, 2008
Rider First Name: M.I.
Last Name:
Address:
City: State: Zip:
Day Phone #: Email:
First
Name: Last Name:
What do you
ride? (entered into $50 gas card drawing)
Where are you
staying? (entered
into $100 gas card drawing – need to include name of hotel or campground
or N/A if you’re not staying at a hotel or campground
Include me in
Green Light Police Escort (based on limited availability, first come first
served basis)
Police Competition Entries Only – Include Name of
your Department
I’m interested in the Big Bike Weekend Preview at
the Mt. Shasta Mall. Information
will be mailed separately.
PAYMENT OPTIONS: Pay Pal, Credit Card, check,
cashier’s check or money order.
Please do not mail cash. NO REFUNDS.
Email PayPal Invoice (be sure to include email
address): Check enclosed:
Card type:
Card number: Expiration date:
CVV number: (For
Visa/Mastercard/Discover, the three-digit CVV number
is printed on the signature panel on the back of the card immediately after the
card's account number. For American Express, the four-digit CVV number is
printed on the front of the card above the card account number)
Big Bike Weekend
or by fax
to: (530) 222-8025
Questions - call 530-222-8025
or email bigbikeweekend@hotmail.com
Be sure to retain a copy of
the completed form for yourself.