2009 Lake O' the Pines Rallye Pre-Registration Form

Print, fill out and mail with entry fee payable to NTNOA to

C/O Bill Keating
257 Spring Creek Ct.
Paradise, TX 76073

Name          Date


City          State     Zip

E-mail Address    Phone Number

Year / make / model of bike

I the undersigned, binding my heirs, executors, administrators, & assigns, do hereby release & agree not to hold liable N.T.N.O.A., its officers, agents, & members from any and all actions, claims, demands, costs, and damages arising or resulting from property damage, personal injuries, or death sustained by me or my property while attending the Lake O the Pines Rallye.

Pre-registration  (prior to 9/26)

Registration at gate  Single $35 - Family $45.

Family is Mom, Dad & 2 kids (under 18 years). Each additional child is $10.

Day Pass - $10.00 Saturday only.  Doesn't include entering a bike in the Show.

Pre-registration fee:    Single $35        Family $45        Extra kids $10 each  ____       (circle option)

Signed ______________________________