MS Global 2009 Registration
 
Name : __________________________________________
Gender : _______ M_______ F Birth Date : ________________
Email : __________________________________________
Day Phone : __________________________________________
Address : __________________________________________
__________________________________________
 
 
What is your t-shirt size? ______XS______S______M_____L_____XL_____XXL  
What is your riding jersey size?
     Verge   ______XS______S______M_____L_____XL_____XXL    
     Vermarc   ______XS______S______M_____L_____XL_____XXL
****Included with registration****

6 nights of accomodation

       Support vehicles  
6 breakfasts, lunches and dinners     Massage  
All local travel and transfers     MS Global riding jersey  
Mechanic support     MS Global T-shirt  
Ride Leaders     MS Global day bag  
 
Registration Fee : $1200 (Riders or guests)
Payment Options :
Payable with registration     : $400  ________  
Payable 30 days   : $400  ________  
Payable 60 days   : $400  ________  
 
CreditCard# : ___________________________ Exp Date : _____________
Name : __________________________________________
Address : _________________________________________________________
 
City : ________________ State : ________________ Zip ________________
 
Signature : ________________________                                                             Date : ________________________
 
Email Registration form to Billham123@verizon.net or fax to 781-631-0961. Checks should be made out to MSGlobal 2009 and mailed to Bill Hamilton, 37 High St., Marblehead, MA 01945.