Rider
Co-Rider
Address Rider
City
GWRRA # Date of Birth
GWRRA # Date of Birth
ZIP
Country
KM to Rimske Terme
TOUR 1 - Friday, June 23 - 131km 22,00€/person
TOUR 2 - Saturday, June 24 - 155km 23,00€/person
T - shirt - preorder
S
Best Lighted Gold Wing Contest FREE
GRAND TOTAL
1st GWRRA Intl. Gathering - Chapter SLOVENIA June 22 - 25, 2017 Registration Form
DESCRIPTION: All payments on GWRRA reception WILL be in CASH only.
QTY PRICE TOTAL TOUR PRICES AND OTHER: (payable on GWRRA reception)
I/We agree to hold harmless the GWRRA, co-sponsoring organizations and any property owners for any loss or injury to self or property to which I/We become involved by reason of participation in the gathering. I/We also agree to assume responsibility for any property which I/We damage.
Rider: ________________________________ Date_______________
Co-Rider ______________________________ Date_______________
Send filled Registration Form to Janez PONGRAC, Chapter SLV-A director
e-mail: [email protected]
M L XL 2XL 3XL
Yes
12,00€ /pcs.
No. of persons
No. of persons
Wild West Evening FREE Yes
TOUR 1
NO CARDS accepted on GWRRA reception!
TOUR 2
Friends for fun, safety & knowledge!
Address Co-Rider
Phone E-mail
District Chapter
