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FREE T-SHIRT IF YOU REGISTER BY JULY 27. T-SHIRT SIZE______ |
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NAME__________________________________________AGE _______ MAKE OF BIKE___________ |
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ADDRESS ____________________________________________________ # ON BIKE_____________ |
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CITY __________________________________________STATE ___________ ZIP ________________ |
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PHONE# _____________________________DEPARTMENT __________________________________ |
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EMAIL ______________________________________________________________________________ |
Indiana Fire & Police MX
Mail to: 748 Memory Lane Hobart, IN 46342
FIRST CLASS $30.00 EACH DAY, 1st ADDITIONAL CLASS $20.00 EACH DAY
3rd ADDITIONAL CLASS $10 EACH DAY
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FIRE, POLICE & EMS CLASSES |
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DAY 1 |
DAY 2 |
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____OPEN D ____Lites Novice ____MX Novice ____Lites Intermediate ____MX Intermediate ____Lites Expert ____MX Expert ____+30 ____+30 Novice ____+40 ____+40 Novice ____+50 |
____BEGINNER BIKE ____WOMEN ____QUAD A/B ____QUAD C ____QUAD OPEN ____CLYDESDALE +225 ____50CC ____65CC ____85CC ____FIRST BIKE BEG KIDS ____SCHOOLBOY ____MINI QUAD |
____OPEN D ____Lites Novice ____MX Novice ____Lites Intermediate ____MX Intermediate ____Lites Expert ____MX Expert ____+30 ____+30 Novice ____+40 ____+40 Novice ____+50 |
____BEGINNER BIKE ____WOMEN ____QUAD A/B ____QUAD C ____QUAD OPEN ____CLYDESDALE +225 ____50CC ____65CC ____85CC ____FIRST BIKE BEG. KIDS ____SCHOOLBOY ____MINI QUAD |
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PUBLIC SUPPORT CLASSES |
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DAY1 |
DAY 2 |
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____Lites Novice ____MX Novice ____Lites Intermediate ____MX Intermediate ____Lites Expert ____MX Expert ____OPEN ____+25 ____+30 |
____+40 ____QUAD A/B ____QUAD C ____QUAD OPEN ____50CC ____65CC ____85CC ____SCHOOLBOY ____MINI QUAD |
____Lites Novice ____MX Novice ____Lites Intermediate ____MX Intermediate ____Lites Expert ____MX Expert ____OPEN ____+25 ____+30 |
____+40 ____QUAD A/B ____QUAD C ____QUAD OPEN ____50CC ____65CC ____85CC ____SCHOOLBOY ____MINI QUAD |
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OPEN CLASSES |
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DAY1 ____UTILITY QUAD ____DUAL SPORT BIKE ___PIT BIKE ____SUPERMINI ____OPEN BIKE $40 Entry 80% CASH PAYOUT ____OPEN QUAD $40 Entry 80% CASH PAYOUT |
DAY 2 ____UTILITY QUAD ____DUAL SPORT BIKE ___PIT BIKE ____SUPERMINI ____OPEN BIKE $40 Entry 80% CASH PAYOUT ____OPEN QUAD $40 Entry 80% CASH PAYOUT |
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Total Day 1 $__________ + Total Day 2 $__________ = Total Paid $__________ |
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