The Mother Road Rallysm - Rally Registration

June 10-17, 2006

Ride 66 & Get Your Kicks in Oh-Six!
Each person who registers gets: Ride Pin, Patch, full set of Route 66 maps, itinerary information and other Route 66 'goodies.' Note: We must have a SIGNED Disclaimer in our files to send you all the registration materials. Scroll to end to find Disclaimer form. Print it, sign and then fax or mail to us. You can easily travel at your own pace. You are not hostage to a ride leader, but there will be a Rallymaster with the westbound group. Click here for more detailed information and answers to frequently asked questions about this event.

Policies: Hitchhiking NOT allowed. Passengers are by invitation of riders only.

This is a "closed event." All bikes must be properly registered to ride in the Rally.

Privacy Policy: All information gathered for the event is kept within the group by HHJM, Inc. and is not shared with any other company.

Note: A pre-departure dinner is held the night before the Rally. Details will be in the Rally Packet

Should you have a change in plans, you can always get a full refund. There isn't a 'cut off' date for a refund, just return your registration materials to us for a prompt, no hassle refund. An option is to roll-over your registration to next year’s rally.  A roll-over is allowed once, and if not used that next year, no refund is given. There is no on-site, day of departure registration. Your registration must be in our office by 5PM, Wednesday, May 31, 2006.

Please fill out the following information and press the SUBMIT button.
The * indicates required information.

First Name*
Last Name*
Company?
Address1*
Address2
City*
State*
Postal Code*
Country
Daytime Phone
Night Phone
E-Mail
Select your START city.
Select your STOP city.
Motorcycle Brand/Model

Registration Fee:
Check here $66 without maps (after 4/16, $76)
Check here $76 with maps (after 4/16, $86)

No registration fee for a passenger.

An additional ride pin for a passenger on a registered bike is $4.95.
Check here if you want an extra Rally pin.
Check here if you're a Repeat Offender.
Check here if you want a $4.95 passenger Repeat Offender pin
Check here if this is your 5th or more MRRRally
Credit Card Number:
(MC, VISA, AmEx accepted)
Card Expires:
Name on the Card:
Anything else
you want us to know?

BE SURE to read and sign the Disclaimer and Release at the bottom of this page. We need to have this form in our file before we can send you all your registration materials. Mail or fax the form to us.

HHJM, Inc.
2024 Heatherbrook Drive
Grapevine, TX 76051-3048

Voice: 817-488-4940
FAX:   817-488-4945

If you get an error message after clicking Submit, use your browser's Back button to return here and correct the submission.


Top of this Form
E-Mail
Home Page 
                          Please PRINT, sign and return.
HHJM, Inc.   2024 Heatherbrook Drive   Grapevine, TX 76051   FAX: 817-488-4945
                                    
                         RELEASE AND INDEMNITY 
                                AGREEMENT
                         PLEASE READ IT BEFORE 
                              SIGNING BELOW

I hereby give up all of my rights to sue or make any claim whatsoever
against the officers, employees or agents of HHJM, Inc. of
Grapevine, Texas, sponsors and all other persons, participants
or organizations conducting or connected with the event* for any
injury to property or person I may suffer, including but not limited to
crippling injury or death, whether such injury arises while I am
preparing for or participating in the event or while I am upon
the event premises.

I know the risks of danger to myself and my property while participating
in the event and while upon the event premises and relying upon my own
judgement and ability, assume all such risks of loss and hereby agree to
reimburse all costs to those persons or organizations connected with
this event for damages incurred as a result of my negligence.

My motorcycle meets all noise, insurance and registration requirements
for the State in which it is licensed.


____________________________________________     _____________
Rider Signature                                    Date

Print Name Here:___________________________________________


____________________________________________     _____________
Passenger Signature                                 Date

Print Name Here: _________________________________________

Relationship to rider (spouse, relative, friend): _______________
*The Annual Mother Road Rallysm