Sign up to be on the GMER roster

Contact Information: First name: Last name:
Ship To : (where we send the trophies)
Street Address:
City: State: Zip Code:
Digits to give investigators and ex wives: Home: Mobile:
Where to send E-mail:

I am a Club Member of:
Gunpowder Valley Motorcycle Club
Washington Area Trail Riders
Honda R&T of Frederick
Baltimore County Trail Riders
Maryland Competition Riders
Not yet

Sex
Male
Female
Any
Often

Competition Roster Member (Do you want to be included for working the enduro for series points?)
Yes, I am working the enduro for series points
I will help, but I don't race
Series Number:
None , just sign me up for the emails
AMA District 7
AMA District 6
Appalachian Championship Enduro Series
ALL Series I qualify for

East Coast Enduro Association

AMA number:
ECEA number: