Registration  Form

Coming Soon

QuadZilla Staged

QuadZilla

and the

Finger Lakes 350

 

Please Print This Form And Mail It In

 

Name: _______________________________________

 

Address: _______________________________________

 

_______________________________________

             

Phone Number: _______________________________________

 

Email (print neatly, we need a valid email):

 

_______________________________________

 

Emergency Contact Name/Phone Number: _______________________________________

 

_______________________________________

 

UMCA UltraCup (Y/N): ________

 

Do you plan to ride:

 

FL 350 _____

Maybe QuadZilla _____

QuadZilla _____

 

Entry Fee for either event is:

 

$150. Shared Motel Room Option

**  Postmarked on/before 7/24  **

 

$100. No Motel Room Option

**  Postmarked on/before 7/24  **

                                                

Add $25. to either after 7/24

 

Mail check payable to:

 

Mark Frank

59 Bay Knoll Rd

Rochester, NY 14622

 

If you do not have email, please enclose a SASE with your entry for the Final Instructions sheet

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