Mac Park Members Ride Weekend

MA Licence @ time of event.*

I will have a Current MA LicenceI will require a One Event Licence
MA Licence Number*
Expiry*

DayMonthYear
Date
Days Riding*

Saturday 11th OctoberSunday 12th October
No Days
Nights Camping*
Class*
Bike/Bikes*

Sidecar Passenger Info

**Please Note if passenger is also riding a solo they will need to fill in a separate entry for the solo machine.**
Passenger Licence*

Have MA LicenceRequire 1 Event Licence
Passenger Name*

First NameLast Name
Passenger Address *

Street Address

CityState

Post Code
Passenger Mobile Phone*
Passenger Date of Birth*

DayMonthYear
Date
Passenger Nights Camping*
Rider Fee
Camping Fee
Licence Fee
Total
Details on how to organise your One Event Licence will be sent to you by email closer to the event.
Payment Type

Cash or EFTCredit Card

Credit Card payment can be made here or alternatively by EFT on email sent shortly.
Should be Empty:

Sidecar Passenger Info