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 12th OctoberSunday 13th 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
Total
Details on how to organise your One Event Licence will be sent to you by email closer to the event.

Total

AUDDescription

Sidecar Passenger Info