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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, EACH ADDITIONAL CLASS $20.00 EACH DAY
Pre-Register by July 1, 2008 and your 2nd & 3rd Classes are only $10 each.
4th class is FREE! (if you can still ride).
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FIRE, POLICE & EMS CLASSES |
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DAY 1 |
DAY 2 |
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____OPEN D ____125 Novice ____250 Novice ____125 Intermediate ____250 Intermediate ____125 Expert ____250 Expert ____+30 Expert/Intermediate ____+30 Novice ____+40 Expert/Intermediate ____+40 Novice ____+50 |
____WOMEN ____QUAD A/B ____QUAD C ____QUAD OPEN ____UTILITY QUAD ____50CC ____65CC ____85CC ____FIRST BIKE BEG KIDS ____SCHOOLBOY ____MINI QUAD |
____OPEN D ____125 Novice ____250 Novice ____125 Intermediate ____250 Intermediate ____125 Expert ____250 Expert ____+30 Expert/Intermediate ____+30 Novice ____+40 Expert/Intermediate ____+40 Novice ____+50 |
____WOMEN ____QUAD A/B ____QUAD C ____QUAD OPEN ____UTILITY QUAD ____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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____125 Novice ____250 Novice ____125 Intermediate ____250 Intermediate ____125 Expert ____250 Expert ____+25 ____+30 |
____+40 ____QUAD A/B ____QUAD C ____QUAD OPEN ____50CC ____65CC ____85CC ____SCHOOLBOY ____MINI QUAD |
____125 Novice ____250 Novice ____125 Intermediate ____250 Intermediate ____125 Expert ____250 Expert ____+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 ___PIT BIKE ____OPEN BIKE $40 Entry CASH PAYOUT ____OPEN QUAD $40 Entry CASH PAYOUT
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DAY 2 ___PIT BIKE ____OPEN BIKE $40 Entry CASH PAYOUT ____OPEN QUAD $40 Entry CASH PAYOUT
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Total Day 1 $__________ + Total Day 2 $__________ = Total Paid $__________
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