- The OZARKS BS (BULL SHOALS) RALLY - September 11-13, 2009 -

NOTE:  ALL riders, passengers and others MUST sign in and sign AMA release
form when they arrive and  pick up wrist band to be admitted to the banquet
and doorprize drawing Saturday night and participate in Rally activities!
 
DIRECTIONS: 
1. Print out this form.
2. Fill out completely and check your addition.
3. Mail this form along with your check to:
   (Please make checks payable to Ed Young)
         
                      Ed Young
                      P.O. Box 30
                      Mountain Grove, Mo.  65711

 Name:_________________________________

 Address:______________________________

 City:_____________________State:____________Zip Code:_____________


 Phone: Work(_____)_____________Home(_____)_____________

 Email: _____________________________

 Passenger or Guest's name:________________________________

FEE DESCRIPTION                                              TOTALS
                                                 
MSTA member rider @ $30 ------------------------------------ ______

NON-MEMBER RIDER @ $30-includes a 1 year Membership in MSTA- ______
This Makes your FIRST HSTA RALLY FREE!(DOES NOT INCLUDE RENEWALS) 

OTHER RIDERS OF THE SAME HOUSEHOLD @ $12 -                   ______
(All non-member RIDERS must fill out application form at Rally)

All Passengers, Guests and other Rider members of the same 
household @ $12 EACH ______

SHORT SLEEVE T-SHIRTS @ $15 EACH (MUST be ordered by August 26)
Small---------------------------------How many__________total______
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LONG SLEEVE T-SHIRTS @ $20 EACH (MUST be ordered by August 26)
Small---------------------------------How many__________total______
Medium--------------------------------How many__________total______
Large---------------------------------How many__________total______
XLarge--------------------------------How many__________total______
XXLarge-------------------------------How many__________total______

(Sustaining members deduct 10% from total)       GRAND TOTAL:______
THANK YOU! WE LOOK FORWARD TO SEEING YOU THERE!