2019 Ride in The Pines Registration.
                                          SCRC SE-OK CHAPTER #132
                                                          McAlester

                                    Cost and Important Dates of Event
                                        Rider $25.00 Passenger $10.00 
                                   Pre-Registration cutoff date: 10-10-19 
                              Event Dates: Registration at 3:00pm 10-25-19

                    Registration Start at 7:00am, Ride KSU at 8:00am 10-26-19 

                                          Ride Information

Rider Name: ________________________ Passengers Name: ____________________
Address: ___________________________  Address: ____________________________        City: __________________________          City: ____________________________
State: ___________ Zip Code: ________ State: ___________ Zip Code: __________
E-Mail: ____________________________    E-Mail: _____________________________
Phone #: __________________                Phone #: __________________
Chapter Name: _____________________ Chapter Name: _______________________
Chapter Number: ___________             Chapter Number: ____________ 
                                               Check One Check One
Chapter Officers: 1st ____ 2nd ____   Chapter Officers: 1st ____ 2nd ____
State: __________                                 State: __________

Pre- Registration DOES NOT Include: Event T-Shirt. Event Patch or 2019 Tap
T-Shirt Size Small-4XL Cost is $18.00/Event Patch $6.00/Rocker Tap $3.00

Rider: $25.00             $ ________  T-Shirt Size ____Full Patch ____2019 Tab ____
Passengers: $15.00   $________   T-Shirt Size ____Full Patch ____2019 Tab ____
T-Shirts: $18.00         $________   Full Patch $6.00 $ ____  2019 Tab $3.00 $ ____
Extras Event T-Shirt: $ ________  T-Shirt Size ______ T-Shirt Size ______
Extras Event Patch:   $_________

                        TOTAL $ ________ 
                     
All Registration must be mail to: Buster McKinley
                                                          616 East Mill 
                                                     McAlester. Ok 74501
                    Ceck or Money Order made payable to Buster McKinley

   

                              Just Print off and mail in