2009 New England 2000

ENTRY FORM

 

 

 

 

Name __________________________________________________________ Phone No (_____ ) ________________________

Address ________________________________________________________________________________________________

City _________________________________________________ State ________________________ Zip __________________

Bike Make ___________________________ Model ______________________ Year ___________________ Size ____________

 

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FEES

New England 2000 Entry Fee - Augusta, Maine Start $35.00; Other Start $45.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  ____________

IBA SaddleSore 2000 Option - $20.00               Yes           No  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   ____________

 

                 Make Check Payable to: Ed Farrell                                                                                                          Total           ____________

 

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First NE1000                                                                                               Second NE1000

                                  START                                     FINISH                                                  START                                    FINISH

Odometer ____________________|_____________________       Odometer _____________________|_____________________

Time ________________________|_____________________        Time _________________________|_____________________

Date ________________________|_____________________         Date _________________________|_____________________

 

_________________________________________________________________________________________________________

 

 

CONDITIONS OF PARTICIPATION

 

I have read, understand and will comply with the rules of this event.

 

I hereby acknowledge that I am aware that there may be some danger related to motorcycle riding, including riding a motorcycle in an organized, touring event on U.S. highways. I voluntarily and knowingly assume all the risks, and agree to hold harmless the New England 2000 Run and/or its officers, sponsors and agents, if I or my property are injured or damaged. I also further understand that this waiver includes traveling to and returning from this event.

 

Entrant's Signature ________________________________________ Date _______________________