Thunder Roads Magazine of Oklahoma/Arkansas TRMOKAR Jan 18_WEB | Page 3

FEATURES Please detach and return with payment. Mail entries to: 6904 W. Reno, OKC, OK 73127 Rider: Registration Fee is Non-Refundable Make checks payable to: O.K.C. HOG Chapter Passenger: Billing Address: Phone Number: City: State: Credit Card (Visa, MC, AMEX, Discover) Card #: - - For Office Use Only Date Received: Payment Information Cash - Location: Zip: Check #: CVC#: Exp. Date: Initials: Thunder Roads Magazine of OK/AR 3