Diamond State Riders  -  Eagle Wings Motorcycle Association  -  South Central Region 'B'
 


On-Line Registration Form



Please Read Before You Proceed:

After you fill out the following form and click on "Submit Registration", you will be directed to a payment page where you may select to pay by PayPal, debit card, or credit card. Your registration is not complete until you submit payment. You will receive an e-mail confirmation to the e-mail address that you provide in the form below and PayPal will verify your payment by e-mail once you complete payment.


How many will you be registering?
Friday Night Dinner (optional)
    Rider:      Co-Rider:
Address:  City: State:   ZIP:
E-Mail Address:
Clicking here signifies that you agree to the following:

I/We agree to comply with the ideals and rules governing this event and to hold harmless all organizers, officers, representatives, co-sponsoring organizations, and property owners for any loss or injury to self or property, and agree to assume responsibility for any property which I/we may damage.



If you prefer to mail in your registration, Click Here to download the mail-in form.


Questions or comments about this site? Contact District Webmaster
Any part of the Arkansas District Web Page may be copied and used for the benefit of EWMA without written permission.