Antique Motorcycles in the Park

Web Site www.diamondchapteramca.com

Entry and information form.

Bikes must register by August 31, 2017

$10.00 fee per bike for first two bikes, more

than two are free ( one form per bike )

to cover cost, plaque included.

add $3.00 if you want a poster.

Please write or print clearly

Name:_________________________________

Address:_______________________________

_______________________________________

Phone:____________Cell:_________________

Email:_________________________________

Bike information,

Year:__________________________________

Make:_________________________________

Model:_________________________________

Brief Description: ( size, horse power,where it was made, history, interesting facts, etc. )

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Mail, or Email to Michael Thomson

143 Leta Lane

Hot Springs, AR 71913

call 501-525-9833,

Email safari100usa@yahoo.com