The SCRC Great Lakes Gathering Registration
The SCRC Great Lakes Gathering August 1-3, 2008. Sponsored by Southern Cruisers Riding Club Motor City Chapter 454 of Michigan. Proceeds Benefit St. Jude Children’s Research Hospital All participants of the event must fill out the registration form and sign the following waiver regardless if they ride. Dinner will be held rain or shine. A patch is included Registration: $25.00 per driver and $15.00 per passenger/participant -not riding. Includes Dinner, non alcoholic beverages & door prizes. Rider Name:_________________________Chapter_________________________ Address:_______________________City________________________Zip_______ Emergency contact: Name_________________________Phone________________
Passenger Name:___________________Chapter_____________________ Address: ______________________City: ____________ State: ____ Zip:_______ Emergency Contact: Name_________________________Phone________________
Participant Name:____________________Chapter_________________________ Address:_______________________City______________State____Zip__________ Emergency contact: Name_________________________phone________________ T-shirts: Adult sizes short sleeve $15.00 S_____M_____L_____XL____2XL_____3XL_____4XL_____ Extra Main Event Patch: $5.00 each_______ Write Certified check or money order to Steve Joachim and please put "Great Lakes Gathering" in the Memo section. E-mail address to send receipt__________________________ Mail Certified Check/ Money Order , Registration form, and Signed Waiver To: GLG - Steve Joachim 6334 Donnybrook Dr Shelby Twp. MI 48316 |