3^rd Annual

Jacksonville Police Motorcycle Challenge

Saturday October 13th, 2007

OFFICIAL ENTRY FORM

(Please Type)

Agency: _____________________________ Contact Person: ________________________

Address: _____________________________________________________________________________

City: __________________________________ State :_____________________ Zip:_______________

Phone ( ) ____________________ Fax ( ) ______________ E-Mail_________________

Divisons: 1= HD with Fairing 2= HD with windshield 3= All other Police Motorcycles

There is an individual entry fee of $20.00, along with an entry fee of $100.00 for teams of 4 or more riders. PLEASE PAY IN ADVANCE.

_____ # of individual riders at $20.00 each = _____ + $100.00 Team Fee for 4 or more riders

Shirt Size Required S ____M _____L ____XL _____XXL ____

Total Costs (Excluding Banquet): $______________

ALSO, PLEASE INCLUDE YOUR BANQUET TICKET MONEY ($30.00 per person) WITH THIS ENTRY FORM.

________ # OF PERSONS WILL BE ATTENDING THE AWARDS BANQUET October ^13th, 2007 at 7:00 p.m.:

________# of tickets @ $30.00 PER PERSON = $_____________

Please make all checks payable to: FOP Foundation

Please Fax a copy of this Registration Form to 904-630-2195 Attention: Glenn Morningstar

After faxing the copy, Mail the Registration Form to: Jacksonville Sheriffs Office (Special Events)

501 East Bay Street

Jacksonville, Florida 32202

Contact person: Glenn Morningstar

904-630-2196 cell:424-4180

_______________________________________________________________________________________________________________________________

ADMIN USE ONLY

Check/Money Order____ Credit Card____ Online payment ____ Date: ____________ Reviewed By:__________________________