Mileage Contest Form - Storm Riders Oklahoma HOG Chapter

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Storm Riders Oklahoma Territory Chapter. 2014 Mileage Contest Entry Form. January 8th, 2014 to November 12th, 2014. Members may enroll anytime during  ...
Storm Riders Oklahoma Territory Chapter 2014 Mileage Contest Entry Form January 8th, 2014 to November 12th, 2014 Members may enroll anytime during the dates of this contest. Mileage starts @ date of enrollment.

Qualifications / Procedures • Enroll one (1) motorcycle per person – Must be a current Storm Riders Oklahoma Territory Chapter Member • Chapter officers will keep your application on file • Notify Chapter Officer(s) if: (a) Change of speedometer occurs, (b) Replace enrolled bike with a NEW bike • At the end of the contest, mileage will be calculated for the enrolled bikes • Winners will be announced at the Storm Riders Oklahoma Territory Chapter Annual Christmas Party • Awards for 1 certificate.

st

will be a $100 gift certificate, 2

nd

with a $75 gift certificate, 3

rd

will be a $50 gift

st

• The 1 Place Winner will be recognized on a Progressive Plaque at FORT THUNDER HD in the Chapter Corner area • Motorcycle Mileage Verification will be by a Chapter Officer or an Employee of FORT THUNDER HD _______________________________________________________________________________________________________

Mileage Contest---2014 BIKE OWNER (please print) _________________________, OWNER’S SIGNATURE___________________________ CHAPTER OFFICER / FORT THUNDER HD EMPLOYEE SIGNATURE, __________________________DATE____________ MAKE_________________________________, MODEL_____________________________________, YEAR______________ TAG NUMBER_____________________, VIN NUMBER________________________________________________________ ENDING ODOMETER MILEAGE_________________, VERIFIED BY____________________, DATE______________ STARTING ODOMETER MILEAGE______________, VERIFIED BY____________________, DATE______________ TOTAL MILEAGE_______________________

REPLACEMENT ODOMETER OR REPLACEMENT MOTORCYCLE IF APPLICABLE ENDING ODOMETER MILEAGE_________________, NEW VIN (IF APPLICABLE) ____________________________ STARTING ODOMETER MILEAGE________________, VERIFIED BY____________________, DATE_____________

TOTAL MILEAGE_______________________

TOTAL CONTEST MILEAGE ______________________