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Motorcycle Registration Form
Motorcycle Registration Form
All registrations must include Motorcycle Unit Fee to be qualified for submission and parade entry. Returned checks for insufficient funds or request to reissue a deposit check will result in a $30.00 service charge. Register early to save time the morning of the Parade. Please print clearly and complete ALL information. First Name Mailing Address City Daytime Phone ( ) Email Motorcycle Type / Make License Plate Number Insurance Company I will be riding with (please check only one): Independent State Evening Phone ( ) Zip code Cell Phone ( ) Last Name
Motorcycle Model Drivers License Number Drivers License State Policy Number
I ride a trike (motorcycle with 2 rear wheels that occupies a larger width than most motorcycles)
Payment Method: Cash Account Number Card Holders Name (as it appears on the card) Billing Address City Daytime Phone ( ) State Evening Phone ( ) Zip code Cell Phone ( ) Check payable to San Diego LGBT Pride Credit Card (Visa, Master Card, Discover) Card Identification Number Expiration Date
San Diego LGBT Pride | P.O. Box 34366, San Diego, CA 92163 | (P) 619-297-7683 ext .107| (F) 619-260-3096 Email: parade@sdPride.org
San Diego LGBT Pride | P.O. Box 34366, San Diego, CA 92163 | (P) 619-297-7683 ext .107| (F) 619-260-3096 Email: parade@sdPride.org