AVDRA ~ Membership Form

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About AVDRA

National Interest

How it all Started

VMX & GPMX Series Title Sponsor

AMS Racing

Associate Sponsors

Sun Cornerstone Group

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

provided by www.website-hit-counters.com .

AVDRA ~ AMS Racing - VMX Series Title Sponsor

AVDRA ~ AMS Racing - GPMX Series Title Sponsor

You may also print and mail in the form.| Membership

Step 1: Enter Info

Step 2: Submit & Print

Step 3: Pay

Annual Membership VMX, G.P.MX, and Cross Country

Membership Includes: E-Letter, Membership Card & T-Shirt which you will receive at the race.

Personal Information
First Name:		Last Name:
Date of Birth:	/ /	Age:
Address:		City:
State:		Zipcode:
Phone:		Emergency Phone:
E-Mail:		Confirm E-Mail:

Allergies & Medical Conditions

Racing Information
Racing #:

Vintage G.P. Modern Mini		Skill Level: Novice Intermediate Expert

*Payment Information*
Credit Card [$32.00] (Authorize.net Privacy Policy) Check, Cash, or Money Order [$30.00]


Refund Policy: A.V.D.R.A. does not refund membership payments.

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 membership application. None of the information will be kept on A.V.D.R.A.'s server.

By applying for or renewing a membership in A.V.D.R.A., I agree to abide by all rules of A.V.D.R.A., as well as any event or track rules that may apply. I also accept that by submitting this form, my application will be treated as a signed document by me.
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 National Associate Sponsors

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