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Rider First name
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Last name
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Email
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Address
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Phone Number
Name of Two-Up Rider (if any):
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Motorcycle Year, Make & Model:
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Emergency Contact Name:
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Names of other riders & passengers in your group (Every attempt will be made to room groups together but not guaranteed):
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Northeast PA June 23-28, 2024
Jun 23, 2024, 4:00 PM – Jun 28, 2024, 11:00 AM
Shawnee on Delaware
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