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Halloween Witch Ride Registration Form _____$20 single _____$30 double First Name:________________________________ Last Name:_____________________________ Address:____________________________________________________________ Apt.__________ City:____________________________________________ State:__________ Zip:______________ Home Number:___________________________ Cell Number:_____________________________ E-Mail:_________________________________________ Additional Rider:____________________ Send Check or Money Order by 10/9 payable to MDA (Muscular Dystrophy Association) to: MDA 138 Conant St 1st Floor Beverly, MA 01915 Must be 18 years or older and have a valid motorcycle license. To benefit For more information call MDA (978) 720-2800 or Boston Harley-Davidson (617) 389-8888 Check out BostonHarley.com for updates Boston Chapter 2358 c AMEX c VISA c MC c DISC Card #:____________________________________________ Exp. Date:_________ Name printed on Card:__________________________________ Signature:____________________________________ Registration 10am-12:30pm Ride leaves at 1pm A scenic ride from Boston Harley, Everett to Shetland Park, Salem followed by a Post-Ride Party! ALL BIKES WELCOME! * Country 102.5 will be broadcasting live from Boston Harley before the ride * Pre-registration: $20 single rider, $30 double rider All pre-registered riders will ride up front as our VIP riders!!! Day of Ride: $25 single rider, $35 double rider
letme know whos down to meet up and do this, will probably pay last min due to time of seasion weather and everything, hopefully that days like today!, i JUST GOT THIS EMAIL from the director who organizes this so its good.