Finnish Harley Weekend Turku 31.7.- 2.8.2015 Contact person H.O.G. Member: Yes A. PARTICIPANT REGISTRATION No H.O.G. Member: Yes No H.O.G. Membership #: ______________ H.O.G. Membership #: ______________ Chapter : _____________________________________ Chapter: _____________________________________ Family Name: *_____________________________ Family Name: _____________________________ First Name: *__________________ First Name: __________________ StreeAddress: *_____________________________ StreeAddress: _____________________________ Zip code / City: *_______ - _____________________ Zip code / City: _______ - _____________________ Country: _____________________________ Country: _____________________________ Phone: *________________________ Phone : ________________________ E-mail: *________________________________ E-mail : ________________________________ Registration fee 70 € / person, H.O.G. Members and their guests 60 € / person Yes No White Grey Mens Ladies S M L XL XXL XXXL Yes No White Grey Mens Ladies S M L XL XXL XXXL I want to order the Rally Pack: I want to order the Rally Pack: T-shirt : T-shirt : Ladies sizes: S=10, M=12, L=14, XL=16, XXL=18 Ladies sizes: S=10, M=12, L=14, XL=16, XXL=18 Rally Pack price 30 € / pack, including t-shirt selected, pin and patch. B. GUEST REGISTRATION Name : __________________________________________ Yes No White Grey Mens Ladies S M L XL XXL XXXL Name : __________________________________________ Yes No White Grey Mens Ladies S M L XL XXL XXXL I want to order the Rally Pack: I want to order the Rally Pack: T-shirt : T-shirt : Ladies sizes: S=10, M=12, L=14, XL=16, XXL=18 C. Ladies sizes: S=10, M=12, L=14, XL=16, XXL=18 ACCOMMODATION Select accommodation Room : _________________________________________________ I book accommodation : Yes No 2 Nights (Fr-Su) 1 Night (Fr-Sa) 1 Night (Sa-Su) Name : __________________________________________ I share reserved room with following partiocipants : Name : __________________________________________ Name : __________________________________________ D. PAYMENT Deliver completed registration form by e-mail to [email protected] or by mail to Turku Chapter Finland / Harley Weekend c/o Hanne Hindres Betonimiehenkatu 24B 20780 Kaarina Finland Bank: Danske Bank BIC/SWIFT: DABAFIHH Payee: Turku Chapter Finland Account number: FI62 8200 4710 7034 74 Total payment EUR : 0,00 Use following payment reference number: Reference number : RF66 1 42176 65923 Registration fee must be paid before 20.4.2015. The registration fees, rally pack fees and hotel reservation are non-refundable and unclaimed rally packs will not be mailed. If you are unable to attend, send a copy of your confirmation e-mail with someone to pick-up your packet for you. More information: [email protected] or by phone +358 40 4758481 or web-page www.turkuchapter.com
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