Please PRINT information, ü appropriate boxes , and use ONE form for each "Rider and Co-Rider together." If two riders please use separate form for each. Feel free to copy this form and give to a friend.

* This is my/our first CanAm & have been introduced by ____________________ who is a previous CanAm registrant.

Rider ________________________   M  ___ F ___  Age __ Signature __________________  Date _______

Co-rider ______________________   M  ___ F ___ Age __ Signature __________________  Date _______

Co-rider_______________________  M ___  F ___ Age __ Signature __________________  Date _______

I/We have read and understood this application. I/We hereby agree to conform and comply with the ideals governing this convention, and further agree to hold harmless the CanAm Rally Committee, co-sponsoring organizations, and any property owner or owners from any loss or injury to self or property in which I/We may become involved by reason of participation in this convention. I/We also agree to assume responsibility for any property which I/We knowingly damage.

Mailing Address   ______________________________   City   ____________________   State/Prov   _______

Zip/Postal Code   __________   Telephone H.   _______________    W.   _______________

Club/group affiliation (& chapter if any)   _________________    Make, model, year of bike   _________________

Email Address: ________________________________

Do you want to be added to our CanAm Newsletter email/mail? [   ] YES

Are you Camping ON SITE?  [  ]  OFF SITE?  [  ]  OR Moteling?  [  ]  YES [  ]  Name of Motel:  ___________________________

[ ] YES  Send me Motel information.  If motel book early, it's tourist season and this is a destination resort area.

If camping are you using a Tent?  [  ]  YES OR Tent Trailer?  [  ]  YES make and model   ____________

Are you camping with a group?  [  ]  If yes name of your group   ______________________________  Site # __________

Are you bringing a Motorhome or towing a Vacation trailer or trailer with a bike in/on it? [  ]  YES

Motorhome Make & Model _______________________  Length _______________  FMCA#____________

Trailer  [  ]   5th Wheel  [  ]
 

Direct Distance to Rally         Km � or  Miles � Only pre-registered, are eligible for longest distance award. Remember, the direct distance to CanAm Rally is from your house toCanAm site in Osoyoos BC by the MOST DIRECT route (side trips and sightseeing excursions that add distance DO NOT count. You must be on a bike and it must be ridden to rally to qualify.)

Cancellations postmarked before June 01, 2004 are subject to a $10.00 handling charge: after June 01, 2004, the entire registration fee is subject to forfeiture.  No telephone or verbal cancellation will be accepted.  Lodging information will be sent on request.

ENCLOSED IS:   CHECK      MONEY ORDER    PLEASE DO NOT SEND CASH

NOTE:  U.S. checks must be in U.S. funds.  Please make checks or money orders payable to: "CanAm Rally"

Interested in volunteering to help out while at CanAm? Just check here and we’ll contact you    

 or, for more information call Jim Carey at 1-888-868-3455

MAILING ADDRESS IN U.S.:  P.O. BOX 2043 OROVILLE WA  98844

MAILING ADDRESS IN CANADA:  #16 - 205 Gerstmar Road, Kelowna BC  V1H 4A6

CanAm Rally Internet:  http://canamrally.com   or   http://canamrally.org   or   http://canamrally.net

CanAm Rally Hot Lines:1-888-868-3455  or  250-767-2762  E-Mail:  jcarey92@gmail.com or grant1@direct.ca

      No more crowding - Select your own site -
View the Site Map
 Don't forget to Call Jim Carey to book the site at
1-888-868-3455


Just click on this map to view the campground site numbers

  CLICK BELOW ON REGISTRATION 2004 PDF TO DOWNLOAD THE ACROBAT VERSION OF THE REGISTRATION