The MADISON MOTORCYCLE CLUB presents the

Second Annual “THE BUCKY” Dual Sport Ride

Saturday, October 23, 2010

RIDE IS FULL! REGISTRATION IS CLOSED!

NOTE: Registration ENDS at 150 entries or Oct. 10th, WHICHEVER OCCURS FIRST.

If we receive your entry after the rider limit or time deadline has been reached, we will mail your check back to you. If we reach our rider limit, we’ll post it on the MMC website.

We cannot refund you if you cancel after October 10th.  We ride - rain, shine, or snow.

Non-registered riders (tag-alongs) will not be permitted. All off-road sections are private property. Non-registered riders will be considered trespassers on private lands.

If you have questions contact Brian Mullane at:

bmullane@sbcglobal.net  or 608-220-5564

See latest info at www. madisonmotorcycleclub.org

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“THE BUCKY” 2010 DUAL SPORT RIDE REGISTRATION FORM
(NOT E: This form must be printed, filled out, and mailed in - this is not an electronic form)

RIDE IS FULL! REGISTRATION IS CLOSED!

NAME:___________________________________________________________________________________________________________

 

ADDRESS:________________________________________________________________________________________________________
 

CITY_______________________________________________________________________________   STATE ______     ZIP____________

 

E-MAIL_______________________________________________________________PHONE ______________________________________

 

AMA # (If applicable)___________________________  BIKE BRAND______________________  BIKE LIC. #_________________________

 

CIRCLE T-SHIRT SIZE  (no pick gets XL) :    S     M    L     XL     2XL    3XL

 

COST IS $65.00.    Includes ride, lunch, dinner, T-shirt, and good times.

Meal ticket only (for non – riders, includes lunch and dinner) is $10. 

Make check payable to MADISON M/C CLUB.  

Mail form and check to:  
Madison M/C Club,
c/o John Troia
2898 Glacier Valley Rd.   Fitchburg, WI  53711

You will receive a confirmation by US mail and also by e-mail if you have provided an e-mail address.