2001 Alaska State H.O.G. Rally
June 15 & 16, 2001
Fairbanks, Alaska - Rally Phone: (907) 488-0470
Pre-Registration Form
(Please print all information. Form must be received
by April 28, 2001)
NAME_________________________________ PHONE: (____)____________
ADDRESS________________________________________________________
CITY__________________________________ STATE______ZIP___________
National H.O.G. #_________________________ Expires: _________________
T- shirt size (Please circle one): S M L XL
XXL XXXL
Circle one ------------ H.O.G. Member
-- Under 12 -- Guest (sorry, guest does not receive
a T-shirt)
NAME_________________________________ PHONE: (____)_____________
ADDRESS__________________________________________________________
CITY___________________________________ STATE_______ZIP___________
National H.O.G. #__________________________ Expires: ___________________
T- shirt size (Please circle one): S M L XL
XXL XXXL
Number of members ______ x$30.00 $ ________________
Number of guests ______ x $30.00 $ __________________(One non-member
guest per member)
Number Under 12______x FREE -----------------------------(Under 12 does
not receive a T-shirt)
Friday Dinner $9.00 (per person) $ ____________________
Saturday Dinner $15.00(per person $___________________
TOTAL ENCLOSED $ ________________
(Make check or money order payable to Alaska State H.O.G. Rally)
REGISTRATION: Pre-registration is $30.00 per person.
Package includes all rally activities (except meals). Only pre-registered
H.O.G. members receive T-shirt, pin, and packet. Registered non-H.O.G.
member guests receive rally packet. On site registration is $30.00 per person,
package includes rally packet. Rally pin included while supply lasts.
A rally ID/registration card will be mailed to you to confirm your registration.
You must present this card with your National H.O.G. card for access to
the rally site.
Send Registration to: Bob Spear, 3253 Plato
Way, North Pole, AK 99705