tml> register
MAXISCOOTER 2004 PRE-REGISTRATION FORM:

All spaces with * need to be filled in or the form will not send. Thank you.

Your Name: *

If attending, You're spouse's name:

Your E-mail address: *

How many in your group: *

What Scooter will you be riding? *
Aprilia Atlantic
Suzuki Burgman
Honda Elite
Honda Helix
Honda Reflex
Honda Silverwing
Yamaha Riva
Other

Will you be interested in staying at the Mill Casino? *
Yes
No

Please add any comments you have below: