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					  2008 AMRA Pre Registration Form – Endurance
  AMRA – 76 Huntmeadow Road NE- Calgary, Alberta – T2K 5H1

  1.      Please fill out form no later than two days prior to race event.
  2.      To fill out fields press ’TAB’ this will take you each and next field or double click in shaded area.
  3.      For drop down menu fields simply click on arrow and choose correct option.
  4.      When done submit form by email (File, send to, as attachment) or Print and Fax 403-640-2849
  5.     BONUS*: If you are a Gold Member or Silver Member (You have pre purchased a 2008 Race package)
  Your Endurance Race Fees are included in package price (*2 Events- Adults save $126.00 Youth save $94.50).
  6.     All riders must sign in on Race Day and present a current CMA license (forms available on site ).

                                               RIDER INFORMATION
Today’s Date: 3/10/2010 8:06 PM
AMRA Membership Level: Choose level                                                  2008 CMA Number :
Riders Name :                                                                        Birthdate:                   Age: 0
Phone Number:                             Alternate Phone:                      Email: xxx@xxxx
Mailing Address:
City: Calgary                             Province: Alberta                          Postal Code:

                                               EMERGENCY CONTACT
Name :                              Phone Number:                             Relationship:

                                       2008 AMRA Endurance Events
       Note* 2008 Endurance Schedule includes Practice and Endurance Races Only, No Regional Points Series
  Choose Event Date: choose date from list
  Youth Endurance: 7-10 Class                         Time: 60 Minutes
 Plate #  Brand & Model                     Team Name                    Team Members – No Iron Man
                                             team name                 ,     ,   ,
  Novice Endurance: Novice 10-16 Class     Time: 60 Minutes
 Plate #   Brand & Model             Team Name                                Team Members – No Iron Man
    0            0                     team name                            ,     ,    ,
  Adult Endurance: Spec Machines Only           Time: Max 3 Hours
 Plate #   Brand & Model             Team Name                                        Team Members
    0            0                    team name                ,                    ,    ,

                                                       Payment
       1. AMRA Endurance Race:            Choose fee
                                                                        Enter fee here                        $0.00
                                                                        Total Payable:                        $0.00
       2. Indicate Payment method: Receipts will be issued at event
          Cheque payable to AMRA                    credit card- Visa or M/C (phone in cc info)            cash


         EMAIL: amra@shaw.ca                   PRINT: Fax: 403-640-2849               Phone: 403-975-2849
                        AMRA – 76 Huntmeadow Road NE- Calgary, Alberta – T2K 5H1

				
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