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PCRC Rally Online Registration

Pre-registration closes June 7

1. Rider and Bike Information: Please make sure the Rider's First and Last Name, Address, City, State, and ZIP are filled out. These are marked with an asterisk (*). Otherwise, we can't accept your Registration and you'll be brought back here until this info has been entered.

First Name *    
Last Name *    
Address *    
Address 2 (optional)
City *    
State *   (for a non-US address, select "Non-US")   
ZIP or Postal Code
Country
Phone Number  -  -
Email Address

2. Enter the Navigator (passenger) information. If the Navigator info (address, phone, etc) is the same as the Rider, leave those boxes blank.

First Name
Last Name
Address
Address 2
City
State    (for a non-US address, select "Non-US")  
ZIP or Postal Code
Country
Phone Number  -   -
Email Address

3. Emergency Contact Information (Please fill this in - you'll be glad you did, just in case)

Full Name
Address
City
State
Phone Number

4. Bike Information

Bike Make
Bike Model
Bike Year  
License Plate Number
License Plate State
If Super X, Last Four Digits of your VIN

5. Rally Registrations: Rally Registration covers all days. Each Rally Registration includes one Rally t-shirt (one Rally registration, one shirt. Ten Rally registrations, ten shirts).

Registrations with Small Shirt:
Registrations with Medium Shirt:
Registrations with Large Shirt:
Registrations with XL Shirt:
Registrations with XXL Shirt:
Registrations with 3XL Shirt:

6. Rally T-Shirts (in addition to the ones included in Registration) - $25 each. If you can't make it to the Rally, we'll mail your t-shirts to you free of charge!

Small:
Medium:
Large:
X Large:
2X Large:
3X Large:

7. Click the "Review My Registration" button. You'll see a summary of your registration information and the amount due. If all is well you can go to PayPal, otherwise you can come back here.