PRE-REGISTRATION FORM
~~* Pre-Registration fee is $19 per person *~~
~~* Pre-registration deadline is October 20, 2006 *~~
 
Print & fill out this form then mail pre-registrations/make checks payable to:
CALALLEN CHAPTER OF GYPSY M/C ~ P.O. BOX 4914 ~ CORPUS CHRISTI, TEXAS 78469
RIDER_________________________________________________CLUB_____________________
 
PASSENGER____________________________________________CLUB_____________________
 
ADDRESS_________________________________________________________________________
 
CITY_____________________________________________________________________________
 
STATE__________________________________ZIP________________________________
I, the undersigned, agree not to hold GYPSY M/C International, GYPSY M/C Calallen Chapter, Lake Corpus Christi KOA, City of Mathis, nor any of their associates responsible or liable for injury, damage, loss to vehicle and/or person(s)/property before, during, or after the GYPSY M/C, Calallen Chapter Halloween Run.
SIGNATURE________________________________________DATE____________________
 
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