Pre – Registration Form

Rolling Thunder^®, Inc, Chapter 2, Illinois

Challenge Run

Sunday, June 8, 2008

Please Print Clearly! Pre-Registration Fee

$15.00 Challenge Run (poker) participant/

$5.00 Challenge Run (passenger only)

Driver Name:_________________________

Address:_____________________________ Please Check one!

City, State, Zip:_______________________ ______ Yes, I will participate and I have enclosed a

check for my fee in the amount of $__________.

Phone:_______________________________

Email:_______________________________ ______ No, I am not able to participate but would l

like to donate $_________.

Passenger Name:______________________

Passenger Address:____________________

____________________________________________

Registration Fee – Day of Ride

$20 Challenge Run (poker) participant/

$10 Challenge Run (Passenger Only)

Pre-registration form must be received by May 29, 2008

to qualify for pre-registration discount

Please make check payable and mail to:

Rolling Thunder Inc, Chapter 2

Attn: Challenge Run

P.O. Box 394

Round Lake Beach, Illinois 60073

For more information – visit our website at www.rollingthunderilch2.org.

Or call Tom @ 312-636-1765