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Ride/Post Request Your Information Name: ____________________________________________________ Address: __________________________________________________ MC: _________________________ Member Number: ____________ Signature: _______________________________ Date: ____________ Ride Information Sponsor: __________________________________________________ Purpose: _Ride _ Dance _ Banquet _ Other _______________________ Start Point: ________________________________________________ End Point: _________________________________________________ Additional Stops: ____________________________________________ ____________________________________________ ____________________________________________ Date: _____________________ Cost: ______________________ Registration Time: ______________ Kick Stands Up Time: __________ To Benefit: __________________________________________________ Brief Description: _____________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Send Requests to: RKMC NY38 c/o Julie Carlson, President 7303 Charnick Dr. Adams, NY 13605
For Office Use Only
Request Received: ______________ Request Read: __________________
Request Approved: YES NO Confirmation sent: ___________________ |
