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2016 Yankee Rally Registration

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Each rider attending the rally should fill out a form - even if only staying the day.
 
All Information entered here is confidential and secure.  Your information will not be shared with any others under any circumstances other than an emergency.
 
Thanks for your co-operation in helping to make this both a safe and fun rally.
 
* MEAL SELECTION *
 
Breakfast Sandwiches: choices are bacon/egg/cheese or sausage/egg/cheese; $6 each; includes coffee. Indicate on the form the number wanted of each type each day.
 
Thursday dinner will be the traditional pizza; $8 per person. Indicate number wanted.
 
Friday dinner will be ziti, meatballs, salad, garlic bread; $13 per person. Indicate number wanted.
 
Saturday dinner will be roast beef, mashed potatoes, gravy, beans; $15 per person. Indicate number wanted.
 
Submit payment via PayPal to TheVRStore@gmail.com. Payment MUST be received by June 24.
 

VR Name if Applicable
Name
Email Address
Address
City or Town
State or Province
Expected Date of Arrival
Passenger Name
Passenger Address
Cell Phone Number
In Case of Emergency Contact
Emergency Phone Number
Thursday Bacon Sandwich
Thursday Sausage Sandwich
Friday Bacon Sandwich
Friday Sausage Sandwich
Saturday Bacon Sandwich
Saturday Sausage Sandwich
Sunday Bacon Sandwich
Sunday Sausage Sandwich
Thursday Pizza Dinner
Friday Italian Dinner
Saturday Roast Beef Dinner
Special Needs, Info, Allergies, or Comments
  

Please remember: Rally T-Shirts must be ordered NLT June 10. See link below:

T-Shirt orders: