ANNIVERSARY CELEBRATION
PRE-REGISTRATION

NBL #__________________       ___FRI APR 17 TROPHY $2

BIKE #_______                         ___SAT APR 18 POINTS $5

AGE____                                  ___SAT APR 18 POINTS $5

CLASS_______                         ___SUN APR 19 PRAC. $5

NAME__________________       ___WEEKEND PKG. $15

                                        PAID________RCVD BY________

PLEASE SEND FORM WITH CHECK MADE PAYABLE TO

"SARASOTA BMX".

TO:  DAVE OTTERBEIN

       603-63RD AVE W 2G

       BRADENTON, FL 34207

MUST BE POST MARKED BY THE 10TH OF APRIL.

MAY ALSO BE GIVEN TO DAVE AT THE TRACK IN

REGISTRATION ON ANY TUESDAY, THURSDAY OR FRIDAY.