Wish Rider Motorcycle Tours
                                                                                 Registration Form
                                                                                           Please Print

These Reservations are for      rider and        co-rider to participate in the following tour                                               
  starting on the date of                                              .      
Cost of tour: ___________  Deposit: ________________    Method of payment: ____________________
Balance Due: __________________  Method of payment: ______________________

Rider Info:
Name:     First: _________________________    MI: _____   Last: _______________________________
Address: ________________________________________________
City: _____________________________ State: ___________________  Zip: __________________
Phone Home: _________________________  Phone Work: ___________________________
E-Mail:  ________________________________________________________
Bike Info: year, make, model, plate # ________________________________________________________
Riding Experience: Years_________  Miles: ____________  Skill Level:  ______________________

Co-Rider Info:
Name:   First: _____________________  MI: ________   Last: ___________________________________
Address: __________________________________________________________________________
City:  _________________________________  State: _________________  Zip: __________________
Co-Riding Experience:  Years______________           Miles ________________________

Your motorcycles must be road legal and comply with all state and local laws. Proof of insurance will be required for the bike. We advise you contact us regarding the type of riding and distances we may travel on a particular ride as there are many variables.

Would you like to be on our e-mail list?   YES_______          NO ________


Signature(s):   1)_____________________________________      Date: _______________________

                        2) _____________________________________      Date: _______________________