2008 Western States Bonanza

Entry Form 

 

Rider’s name: ___________________________ 

Co-rider’s name:  ________________________ 

 

Address:  _________________________ 

                _________________________ 

                _________________________ 

 

Home phone:  _________________  Cell phone:  _________________________  

e-mail:  ____________________________  

Motorcycle, (make, model):  ___________________________ 

Do you have any previous endurance rally experience?  Yes     No

If yes, which rally and when:  _________________________________________

 

Tee shirt size:  XXXL  XXL  XL   L   M, (one shirt will be provided per entry, two for two-up entries.  Extra shirts are $20.00 each) 

By signing this entry form, I certify that I have the necessary skills to ride a motorcycle for extended periods and agree to hold the BMW Club of Western Colorado, the rally masters, and any and all sponsors of the event harmless in the case of accident or injury. 

Signature_______________________________________________________

Return this entry form, along with a check (payable to BMW Riders of W CO) for $75.00, (or $125 for two-up entries), to: 

Western States Bonanza

C/o The BMW Riders of Western Colorado

PO Box 3271

Grand Junction, CO 81602