I/We have read this application and understand this application. I/We hereby agree to conform and comply with the ideals governing this event, and I/We further agree to hold harmless the Colorado FreeWheelers M/C, any member thereof, co-sponsoring organizations and any property owner or owners for any loss or injury to self or property in which I/We may become involved by reason of participation in this event. I/We also agree to assume responsibility for any property which I/We knowingly damage. Rider Signature _______________________________________________________________ Passenger Signature ____________________________________________________________ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rider Name (please print) ________________________________________________________ Address _____________________________________________________________________ City ____________________________________________ State ______ Zip______________ Home Phone _(____)__________________Other Phone (____)____________________ Make Model & Year of Mortocycle ________________________________________________ E-mail Address ________________________________________________________________ Qty/Shirt Size/s____/___________, ____/___________, ____/_____________
Make check or money order payable to and mail completed entry to: No refunds after July 1. A processing fee of $10.00 will
be added to cancellations between June 1st & June 30th.
Entries received after August 3rd will be accessed an additional
$5.00 for S&H of the shirt. Ride information will
be mailed no sooner than July 1st containing all instructions,
rules and exact timetable. If you need more information, call
Frank, at (303) 295-7137 evenings or E-mail (freewheelinfrank1@msn.com)
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