2010 District 22 MooseRegistration Form
DISTRICT 22 OFFROAD CONTINGENCY PROGRAM
Contingency Rules
First Name: Last Name:
Address:
City: State: Iowa Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:
Phone: E-Mail:
Class you ride:
Rules to Qualify:
Rules to Qualify: You must register with Quintin Davis (Fill out this form, or 319 465-5680 or qdavis@n-connect.net). We can not send your name in to receive the Moose Bucks if we do not have your correct address. Rider must wear Moose Jersey, Pants and Gloves. Rider must ride in at least 80% of series events.
Awards:
Moose awards will be determined by Rider's final series points at year end.
RIDER WILL BE AWARDED FOR BEST FINISH IN ONE SERIES ONLY.
Moose Bucks: Bucks can be used to purchase anything in the Moose catalog with the exception of Jerseys, Pants or Gloves
REMEMBER YOU MUST ATTEND 80% OF THE SERIES RACES TO QUALITY FOR THE CONTINGENCY.
Design and content by Gary Barber
