Star Touring & Riding
Andersonville Memorial Day Event
Pre-Registration Form
Memorial Day Weekend       May 28-31, 2010


Member Name     Star Exp Date   
Address
Address (cont.)
City      State       Zip  
Home Phone             E-Mail Address 
 
Guest 1      Guest 2         
Guest 3      Guest 4         
 
Branch of Service Army   Navy   Air Force    Marines   Coast Guard  
   
T-Shirt Size & Quantity SM   MD   LG    XL   2X   3X   Other

 

 

 

 

 

 

 

 

 

*This is a pre-registration form only. HOTEL reservations must be confirmed with the HOTEL.

HOTEL INFORMATION: (You must book your room separately - Registration for the event does not include hotel reservations)

Quality Suites (GA782)
4080 Watson Blvd
Warner Robins, GA 31093
478-333-6920

Rates are 67.99/night for King & 71.99/night for double Queen

YOU NEED TO BOOKS THE ROOMS ONLINE USING YOUR SOS CARD TO GET THESE RATES !!

Registration Cost is $40.00 per attendee             To pay by check:
This includes the following for each attendee:                                     Make checks payable to: Atlanta Star Touring
Lunch on Saturday                                                                      Mail to:     Atlanta Star Touring 
One event T-shirt                                                                                             
58 Melivy Court 
One ride pin                                                                                                        Jefferson, GA 30549
Trivia Ride
Bike Show Entry

To pay by credit card: 1) Fill out the form, including the information below 2) PRINT the form and mail it to the above address or fax it to 888-766-8644.
You cannot send credit card info via the Submit Form button. This is not a secure web site. 
You can also call Doug Turco (404-401-7635) and provide your credit card information directly.

CC TYPE:    MC / VISA / DISC                        DEADLINE FOR PRE-REGISTRATION
Name on Card: ___________________                             
MAY 10, 2010
Card Number: ____________________
Expiration Date: __________________

You can submit this form using the button below. You will still need to provide payment via check or credit card. You can also print out this form and fax it to 800-766-8644 or mail it to the address above.

                

Gary V Kohl
Copyright © 2010 Atlanta Star Touring. All rights reserved.
Revised: 02/23/10