ENJOY FABULOUS SOIREES AND DELIGHTFUL,
LEISURELY PLANNED EVENTS IN AN
EXCITING ENVIRONMENT, SURROUNDED BY
FRIENDS AND THE ASTOUNDING COMPANY
OF THE ALWAYS-ENJOYABLE MEN OF
POTOMAC MC
THIS YEARS THEME
IS
WALK
EX: WALK THIS WAY.
TO HOST A COCKTAIL PARTY
CONTACT THE ROAD CAPT
BILLUTOPDOG@YAHOO.COM
OR
POTOMACMC@HOTMAIL.COM
OR
BILL
703 960 0904
POTOMAC RIVER
WALK 2004
APPLICATION
NAME: _________________________________________________
ADDRESS: _____________________________________________
_________________________________________________________
PHONE: ___________________________
EMAIL: _________________________________________
CLUB AFFILIATION: ___________________________________
I CERTIFY THAT I AM AT LEAST 21 YEARS OF AGE AND THAT
I WILL
ABIDE BY THE RULES PERTAINING TO THIS EVENT. I
WILL NOT USE
NON-PRESCRIPTION DRUGS AND WILL HOLD BLAMELESS POTOMAC
MC
MEMBERS AND ALL PROPERTY OWNERS FOR ANY DAMAGE OR INJURY
TO MYSELF OR MY PERSONAL PROPERTY.
SIGNATURE: ____________________________________
DATE: __________________
WALK FEE 69.00 -----------
LATE FEE ( AFTER MAY 21 ) 20.00 -----------
TOTAL -------------
MAKE CHECKS PAYABLE TO POTOMAC MC.
ONE
NAME PER APPLICATION. FORM MAY BE DUPLICATED
PAGE LAST UPDATED ON 04 JAN, 2004