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Great Lakes Harley® Round-up XXVI 2008 Registration Form Print this out, fill in, and mail with check or money order to: Cycle-Moore, Inc., Great Lakes Harley® Round-Up, P.O. Box 97 Interlochen, MI 49649 | Name__________________________________ Rider___ Passenger___ Address_____________________________________________________ City_____________________________State___________Zip_________ Machine_________________________Phone_______________________ Signature____________________________________________________ E-Mail______________________________________________________ Paid For:___3-Day Package ___Sat. Only ___Sat. Night Live ___T-Shirt ___Patch ___Scarf ___Mug ___Reband Name__________________________________ Rider___ Passenger___ Address_____________________________________________________ City_____________________________State___________Zip_________ Machine_________________________Phone_______________________ Signature____________________________________________________ E-Mail______________________________________________________ Paid For:___3-Day Package ___Sat. Only ___Sat. Night Live ___T-Shirt ___Patch ___Scarf ___Mug ___Reband |
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Summary Checklist | ||||
| QTY | Total | |||
| 3 Day Package: (The Whole Works) $48.00 per person | X | _______ | = | _______ |
| Saturday Only Ticket: (9am On) $38.00 per person | X | _______ | = | _______ |
| Saturday Nite Live Ticket: (7pm Til 12 Midnight) $13.00 per person | X | _______ | = | _______ |
| Quilt and More Raffle 3 For $5.00 | X | _______ | = | _______ |
| T-Shirt (Advance Price $16.00 each | X | _______ | = | _______ |
| Scarves $6.00 each | X | _______ | = | _______ |
| Patches By Advance Purchase Only $6.00 each | X | _______ | = | _______ |
| Bottomless Mugs $28.00 each | X | _______ | = | _______ |
| Reband Mugs $23.00 each | X | _______ | = | _______ |
| Total Enclosed | _______ | |||
| Prepaid T-Shirt Sizes: | ||||
| ______S _____M _____L _____XL _____XXL | ||||
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The Above Goodies Await You At Registration! Sign above and mark what you paid for, and send cash, check or money order to: Cycle-Moore Great Lakes Harley® Round-Up P.O. Box 97 Interlochen, MI 49643 Make Checks out to: Cycle-Moore Please Fill Out Completely | ||||
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Print More Sheets if Necessary
Your signature consitiutes acceptance of the following terms: I am entering this event at my own risk. I, for myself, my heirs, personal representatives and assigns hereby release, discharge and agree to hold harmless Cycle-Moore the promoters, the owners and lessees of premises on which events take place, the officials, the participants, and officers, directors, agents and employees of all of them and their Insurance Company, of and from all liability, loss claim, demands and possible causes of action that may otherwise accrue from any loss, damage or injury to my person or property, in any way resulting from arising in connection with, or related to this event whatsoever without limitations including negligence of any of the above named. I enter this event voluntarily and in reliance on my own assessment of my ability, the course, and all facilities and conditions whether caused by myself or furnished by others. I rely solely on my own judgement and ability and thereby assume all risk for loss, damage, injury to myself and my property from any cause whatsoever and whether or not attributal to my own negligence or that of others including all the above but not limitied to the same. [phew!] |