 |
 |
 |
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
||
 |
301 Union Avenue PMP 324 Altoona PA 16602
www.tourdetoona.com Phone: 814-949-7223
TODAY'S DATE: __________________ NAME (print): ___________________________________________ STREET: ____________________________________________________ CITY, STATE, ZIP: _____________________________________________ RIDER PHONE #: _____________________ WORK #: ___________________ LICENSE#: ______________________ SOCIAL SEC. #________________________ TEAM NAME: ________________________________________________ RACING AGE: ___________ CATEGORY: _________ WHO TO NOTIFY IN CASE OF EMERGENCY: ___________________________ PHONE #: _____________________ All award checks will be mailed with in 30 days after the final day of the racing, August 1, 2006 --------------------------------------------------------------------------------------------------------------------------- IF MAILING IN YOUR REGISTRATION, THIS FORM AND A U.S. MONEY ORDER MADE OUT TO "THE INTERNATIONAL" CAN BE SENT TO THE ADDRESS ABOVE. NO CHECKS ACCEPTED. REGISTRATION FEES: One day : $25.00 Sat _____ Sun _____ Both Saturday & Sunday: $40**No Registration Refunds**