You may print and mail this form for advanced registration
or you may
choose to print the form and bring it with you. Use
the mailing address
below and note on the envelope POB 2000.
BK
Member Name: _______________________________ Chapter
__________
Kids
Under 13:
____________________________________________________
Address:
_________________________________________________________
City:
________________________ State: _________ Zip:
__________________
Phone:
____________________________ E-Mail:
________________________
Miles
Ridden to POB: ________________ Oldest Rider:
___________________
THIS
IS A CLOSED EVENT FOR BLUE KNIGHTS AND THEIR INVITED GUESTS.
YOU MAY INVITE FAMILY AND FRIENDS BUT YOU ARE RESPONSIBLE
FOR THEIR ACTIONS AND CONDUCT.
Total
Adults: ___________ X
$35 or X $65
Couple = _________________
Guests:
_______________ X $35
or X $65 Couple =
_________________
Children:
______________ ( Under 13 years old FREE )
Total:
$________________
QUESTIONS
CALL OUR CHAPTER HOT LINE: 410-380-1950
e-Mail: Jimmy
Zervakos, MD-V President
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