Print & Complete Application Form
then mail to:
Graham Chenell/BLT
38 Emerald Crescent
Moncton, N.B.
E1H 2V8
Canada
then mail to:
Graham Chenell/BLT
38 Emerald Crescent
Moncton, N.B.
E1H 2V8
Canada
2008 BLT 1000/1600 RALLY
REGISTRATION FORM
NAME_______________________________________
ADDRESS___________________________________
CITY_______________________ PROV/STATE _____
POST/ZIP CODE________ TELEPHONE __________
Email ADDRESS_____________________________________________
AGE__________ SHIRT SIZE _________ CMA MEMBER YES____ NO____
BRAND OF MOTORCYCLE____________________ PLATE #___________
RALLY EXPERIENCE________________________________________
___________________________________________________________
___________________________________________________________
WHICH RALLY ARE YOU ENTERING ? (choose only one)
BLT 1000 ______________ BLT 1600_______________
SIGNATURE_______________________________________________
By signing this non-transferable entry you acknowledge that you possess the skill to ride a
motorcycle endurance event for a period of at least 26 hours.
A separate waiver must be signed prior to the rally.
The cost of the rally is $50.00
Make checks payable to Graham Chenell/BLT and mail to:
| Graham Chenell/BLT 38 Emerald Crescent Moncton, N.B. E1H 2V8 Canada |
