Space Coast Motor Officers Inc.

A 501(c)3 Organization
Find us on Facebook

2017 Registration for

Event on November 16th, 17th & 18th

This years event will take place at Space Coast Harley Davidson, located at:

1440 Sportsman Lane NE
Palm Bay, Florida 32905.

Due to the location and previous comments and concerns, this years event will be limited to the first 75 competitors. Please do not wait till the last minute to register for this years event.

Registration Count

38

Updated 10/19/2017

 

Please check the rules as our definition of NOVICE has changed.

Contact Information

Agency:
 
Contact Name:
 
Contact E-Mail:
 
Address:
City:
 
State:
Zip Code:
Phone Number:

Rider Information

Rider 1:
Age:
Division:
Novice:
Shirt:
Rider 2:
Age:
Division:
Novice:
Shirt:
Rider 3:
Age:
Division:
Novice:
Shirt:
Rider 4:
Age:
Division:
Novice:
Shirt:
Rider 5:
Age:
Division:
Novice:
Shirt:
Rider 6:
Age:
Division:
Novice:
Shirt:
Rider 7:
Age:
Division:
Novice:
Shirt:
Rider 8:
Age:
Division:
Novice:
Shirt:
Rider 9:
Age:
Division:
Novice:
Shirt:
Rider 10:
Age:
Division:
Novice:
Shirt:

Team Information

 
Rider Name
Rider Name
Team #1
Team #2
Team #3
Team #4
Team #5
Rider Fee is $60 per person, this includes one banquet ticket, additional tickets can be purchased for $25 during the event. Please make checks payable to Space Coast Motor Officers Inc. and mail check to:
Space Coast Motor Officers
P.O. Box 238391
Cocoa, FL 32923
Method of Payment:

To register for our event, please complete the above form. For any questions on registration please email spacecoastmotors@cfl.rr.com. To pay by phone, please contact Bryan Kanipe at (321) 362-8241.

Event Flyer

Download our W9 Here