USA FOUR CORNERS MOTORCYCLE TOUR Southern California Motorcycling Assoc.

INFORMATION SHEET - USA 4 CORNERS TOUR CHARTER NAME: SCMA - LOCATION: USA AMA SANCTION # R 0211

RIDER NAME (print) STREET ADDRESS TOWN, STATE, ZIP PHONE E-MAIL AGE

APPROXIMATE TOUR START DATE

DRIVER (male) DRIVER (female) PASSENGER MOTORCYCLE MOTORCYCLE/SIDECAR TRIKE

MOTORCYCLE make model cc YEAR LICENSE ODOMETER COLOR

PARENT/GUARDIAN

PARTICIPANT SIGNATURE

DATE SCMA #

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