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2008 Motorcycle Registration Form
Saturday August 30, 2008 (labor day weekend) from 10:00am to 6:00pm
Name:__________________________________________________________________________
Address: __________________________________________________________________
City:____________________________________________State:_________Zip:______
Phone:__________________________________Email:__________________________Circle one:
Ř Vintage – Motorcycle that is 20 years old or older (Year 1988 and down)
Ř Stock – Origin motorcycle no changes to the bike, as it was in the showroom.
Ř Custom – A physical alteration to the motorcycle. (Chop, changing the design of the bike & etc.)
Make:_____________________________Model:______________________________Year:_______
Pre-registration Fee if received before the event: $12.00 Registration Fee day of event: $15.00
Make check payable to: 40 Mile Point Lighthouse Society
Mail Completed Registration Form and Check to: 40Mile Point Lighthouse, P.O. Box 205, Rogers City, MI 49779. For more information is available online at www.40milepointlighthous.org for any question, contact Don Dimick at (989) 734-8050 or dmdimick@i2k.com
*Kickstands, or the
equivalent, are required for all motorcycles
*Check in at Registration Booth to pick up registration packet.
*Set- up time start at 8:00am
*Trophy will be awarded for Best in Show and People’s Choice.
I hereby agree as a condition of my registration in the Classic & Custom Motorcycle Show that I will be responsible for my own actions and those of all minors in attendance with me at the CCMS event and release, indemnify and hold harmless all 40 Mile Point Lighthouse Society members, officers, agents and other participants from any kind arising out of my participation in the CCMS event activities.
By signing below, you acknowledge the above motorcycle or club is yours and that you have read and agree to the rules of the CCMS.
Owner Signature:X______________________________________________________Date:______________