Name_________________________________________________________________

Address:______________________________________________________________

City_____________________________________State__________Zip____________

Phone Number:_____________________Fax Number:________________________

Number of Applicants:__________________________________________________

Comments:____________________________________________________________

_____________________________________________________________________

MUST BE 21 TO ENTER

Pre-Registration Fee: $30.00
Make Check Payable to:
Big Al's Saloon
& mail completed form with your entry fee to:
Southern Bike Fest
520 Destrehan Ave
Harvey, LA 70058