August 4, 2012, Bike Show Registration

YOUR FULL NAME *

BEST TELEPHONE NUMBER TO REACH YOU *

In case there is an issue with your registration, we may call you.

Year, Make and Model of your motorcycle *

CLASS YOU ARE ENTERING *

If you need assistance or have questions on what class to enter, call John Lyon 802-476-6104

• Harley Touring
• Harley Dyna
• Harley Sportster
• Harley Softtail
• Custom Class (Non-Harley)
• Metric Class
• Rat Bike Class
• Trike
• Harley Antique (Pre-1986)

I understand I have to be at Wilkins HD on Aug 4, 2012, before 9 a.m. *

• I understand
• I will be late, but understand I will lose votes if I am too late.