Member Name	Star Exp Date
Address
Address (cont.)
City	State       Zip
Home Phone	E-Mail Address
Guest 1	Guest 2
Guest 3	Guest 4
T-Shirt Size & Quantity	SM   MD   LG    XL   2X   3X   Other

 

 

 

 

 

 

 

 

*This is a pre-registration form only and all HOTEL reservations must be confirmed with the HOTEL. We will use this for as a confirmation to secure the rooms.

YOU MUST MAKE YOUR OWN RESERVATIONS WITH THE HOTEL.

Registration Cost is $32.00 per attendee             To pay by check make checks payable to:
This includes the following for each attendee:                                     Atlanta Star Touring
Lunch on Saturday                                                                      Mail to:     Atlanta Star Touring 
One event T-shirt                                                                                              58 Melivy Court 
One ride pin                                                                                                        Jefferson, GA 30549

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 800-467-9608. 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 9, 2008
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 800-467-9608 or mail it to the address above.