Ride To The River Rally             September  28-29, 2007

For Pre-Registration

Call Kevan at 866-300-6370 or 512-446-3211

or Fax completed Form to 512-446-2589

Must be received by September 20, 2007

Name ________________________    Address _________________________    City ______________________ St___ Zip______

Phone (___)_________________ Cell # (___)________________ Email__________________________

Quanity

Item

Price

Total

 

2- Day Pass w/ freeT-shirt ($15.00 value)

$35.00

 
 

Saturday only w/ free pin ($7.00 value)

$25.00

 

 

Hot Showers

Free

 
 

Tent/includes Hot Showers

$10.00

 
 

General RV/no electricity

$40.00

 
 

Choice RV/ no electricity

$125.00

 
 

Choice RV/ with electricity

$175.00

 
 

Premium RV/no electricity 

$175.00

 
 

Premium RV/with electricity 

$225.00

 
 

***$3.95 processing fee will be added to all credit card orders***

   
   

Total  Due

 

Mail checks to: Apache Pass, 9112 N. FM 908, Rockdale, TX  76567        Payable to:   Riverside Productions L.P.

Credit Card Payments:  Name of Credit Card Holder_______________________________  Discover_____ Master Card_____ Visa_____

 CC Number____________________________________   Expiration date______________ 

Pre-Registration number: ___________________________(Valid drivers license number & State in which issued)

YOUR VALID DL# IS YOUR REGISTRATION NUMBER.  You MUST show your DL at the Will Call Window in order to receive your ticket or tickets -- no exceptions! 

MEN’S  T-SHIRT SIZE: SM_____   MED_____   LG______  XL______  XXL______   XXXL______ 

TICKETS, SHIRTS & PINS WILL NOT BE MAILED.  PICK UP AT WILL CALL. 

DISCLAIMER:   BY SUBMITTING  THIS FORM OR BY  MAKING THIS TRANSACTION BY EMAIL,  YOU CONFER AND ACKNOWLEDGE THAT YOU AND OTHERS FOR WHOM YOU ARE OBTAINING TICKETS FOR  HAVE READ THE DISCLAIMER AND  AGREE TO THE FOLLOWING:  I hereby give up all my rights to sue or make any claims for damages due to negligence or any other reason whatsoever, against the RIDE TO THE RIVER RALLY, the promoters, sponsors and any other persons, participants or organizations conducting or associated with this event or the property where it will be held.  I understand that I will be using my own judgment and take full responsibility for my own acts and assume such risks such as loss of my property, and in the case of me causing property damage and placing other participants in danger, I understand that I will be assuming all responsibilities.