AVDRA ~ National Pre-Entry Form

National D. #1 D. #2 D. #3 D. #4 D. #5 D. #6 D. #7 D. #8 D. #9 D. #10 D. #11 D. #12

Past 'Rider of the Month'

Series Sponsors

Sun Cornerstone Group

Motorcycle Accessory Shop

Associate Sponsors

X-Treme Vintage YZ

VMX Racing

Southwest Montesa

Mobley's Bultaco Parts

The AVDRA is dedicated to the memory of American Moto Cross legend Jim Pomeroy.

"To old friends & old bikes."
Perris, CA October 2005

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AVDRA ~ Series Sponsor - Sun Cornerstone Group Inc.

AVDRA ~ Series Sponsor - The Motorcycle Accessory Shop

Step 1: Enter Info

Step 2: Submit & Print

Step 3: Pay

"Racing Thru Time" Vintage Moto-X Series
Vintage & GP Entry Form

A.V.D.R.A. Membership Required
Pre-Entry Fee: $35.00 First Class | $25.00 Each Additional Class

Entering Event:
Deadline to enter this event online:

Personal Information

First Name:

Last Name:

Skill Level:

Novice
Intermediate
Expert

AVDRA Race #:

Bike Make:

E-Mail:

Confirm E-Mail:

Vintage Classes

Total:

Vintage 100	Dino 250 (pre '65)	V. 70+
Vintage 125	Dino Open (pre '65)	Women
Vintage 250	Vintage Open Age	V. Vinduro Under 200cc
Vintage 500	V. 40+	V. Vinduro Above 200cc
Euro 125	V. 50+	Mini Adult
Classic Stock 250 (pre '70)	V. 60+	Mini Kids
Classic Stock Open (pre '70)		Other

GP Classes

GP I 125 ('75-'77)	GP III 500 ('82-'84)	GP 40+
GP I 250 ('75-'77)	GP IV 125 ('84-'89)	GP 50+
GP I 500 ('75-'77)	GP IV 250 ('84-'89)	GP 60+
GP II 125 ('78-'81)	GP IV 500 ('84-'89)	GP Vinduro Under 200cc
GP II 250 ('78-'81)	GP 4x9	GP Vinduro Above 200cc
GP II 500 ('78-'81)	GP 4x12	Decade (2000 & Older)**
GP III 125 ('82-'84)	Open Age	Modern
GP III 250 ('82-'84)		Other
Decade Class - No Yamaha 400 F's

Special Notes

Payment Information

Credit Card [$0.00] (Authorize.net Privacy Policy)
Check, Cash, or Money Order [$0.00]

Refund Policy: A.V.D.R.A. has a NO REFUND policy. However, you may transfer your entry(ies) to another race in the "Racing Thru Time" Vintage Moto-X Series during the same calendar year, if you were unable to make a race or had a DNS. You have 30 days from the race you entered to transfer to another race.

Privacy Policy: None of the information that you enter here will be sold, traded, or given to any third party.

Security Policy: All the information you provide on this form will be e-mailed to A.V.D.R.A. for a printed backup version of your entry. None of the information will be kept on A.V.D.R.A.'s server. For online payment, you will be transferred to a secure Authorize.Net payment server.

I accept that by submitting this form, my entry will be treated as a signed document by me. I also understand that A.V.D.R.A. events DO NOT CARRY RIDER MEDICAL INSURANCE and that I assume responsibility for any and all risks associated with my participation in A.V.D.R.A. events. A.V.D.R.A. retains the right to refuse service to anyone.

I have read and agree to the Refund Policy, the Privacy Policy, and the Security Policy.

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Contact Info: 480-464-7898 | 1648 W. Bentley St. Mesa, AZ 85201

AVDRA Series Sponsors

AVDRA National Associate Sponsors

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