ACT 2008 SIGN UP FORM

Name:

Address:

City:

State:

Zip:

Phone:

E-mail:

Riding Partner:

MEMBERSHIP SIGN UP  (Please check one)

Month(s)

Monthly Membership: $120 

I am a 2008 Member

Premier Annual Membership  $550

RIDE SIGN UP: rides are open to current or new members only.      1-day option is not available on 2-day destination rides. 

Ride Date & Name

Days Riding

Click here to view the ride calendar

Other: explain

Membership Dues:

Total:

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Exp:

*This is not a secure site.   We suggest you print the completed form and either mail or fax it 

Personal Assumption of Risk.  I know that when I participate in an ACT Trail ride or Dual Sport Ride and follow an ACT roll-chart or map I will encounter serious dangers and unsafe conditions without any warning and I could suffer serious injury or death.  Knowing this, I still want to participate.  By agreeing with this statement, I voluntarily take full personal responsibility for my own safety and for all liability, injury, harm, or any problems that may happen to me as a result.  I choose to do so without knowing to what extent any of that might be.  I promise to never make any claims whatsoever for any personal damages, injury or losses associated with any ACT ride, roll-chart or map regardless of the circumstances.  I know ACT offers no medical or liability insurance coverage for me.  I have read and understand this statement and certify my agreement with my entry.

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FAX: 530-672-3672
PHONE: 530-672-3672
EMAIL: actrides@goldrush.com
ADDRESS:  P.O. Box 1474, San Andreas, Ca  95249