Registration Form Page
The Lake Superior MotorcycleCircle Tour

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Use this form to send us registration information.  Fields marked with a red asterisk (*) are required fields.

Click these links to go directly to a field:

bulletGeneral Contact Information
bulletOnline Alias Information
bulletPersonal Information
bulletPrimary Bike Manufacturer
bulletPrimary Bike Size
bulletPrimary Bike Type
bulletCan you help us Plan this tour ?
bullet Can you help us during the tour ?
bullet Comments, Remarks, Suggestions

bullet Please provide us with the following general information:
First Name *
Last Name *
Title   (note: we will assign this after you register)
Street Address
Address (cont.)
City
State/Province *
Zip/Postal Code *
Country *
Home Phone
FAX
E-mail *  (example: youruserid@domain.com/net)
URL      (example: http://www.websitename.com)

 

bulletPlease provide us with your Lycos forum alias information:
(note: you should have a registered Lycos name prior to filling out this form)
User Name *

 

bullet Please identify and describe yourself:
Age  
Sex Male Female  
Registration ID Number             (note: this will be pre-assigned.

 

bullet Please check-mark the manufacturer of your PRIMARY motorcycle: *
Honda:            Suzuki:           Kawasaki:         Yamaha:         
Harley-Davidson:  Buel:             Victory:          Indian:         
Triumph:          Custom Made:      Other:

 

bullet Please check-mark the engine size of your PRIMARY motorcycle (in CC's): *
250:    450:    500:    550:  
600:    650:    700:    750:  
800:    900:    1000:   1100: 
1200:   1400:   1500:   1600: 
1800:   2000:   Other:

 

bullet Please select your PRIMARY bike type: *
Cruiser:  Tourer:   Chopper:  Other:

 

bulletQ: Would you be willing to help us PLAN this ride ? *

Yes No

 

bulletQ: Would you be willing to help us DURING the ride ? *

Yes No

 

bullet Comments, remarks, suggestions about web site and/or forum(s):


 

Created by Ike.
Copyright © 2003 [OrganizationName]. All rights reserved.
Revised: 11/01/03


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Created and maintained by IkeSys Enterprises.
Copyright © 2003 Lake Superior Circle Tour. All rights reserved.
Revised: 11/05/03 04:42:53 -0500.

For problems or questions regarding this web site please email the Webmaster.
Last updated: 11/05/03.