MGNOC Mileage Contest Form

Please complete the form below and click "Submit This Form"
PLEASE put your correct MGNOC membership number on the form. If you put the wrong number, you may mess up someone else's contest entry.
We ask for your sex so we can have separate men's and women's mileage contests.
We ask for your email so we can ask you for documentation if you're a top finisher.
We ask for your name and state so we can print the contest results in the MGNOC newsletter.
You can enter up to 10 bikes in the contest because I didn't want to make the form any longer.
The full mileage contest rules are here.

Your MGNOC Membership Number
Your First Name
Your Last Name
Your Sex
Your Entry Class Solo Male   Solo Female   2-up   Sidecar   Over 70 years
Your Age
State (USA and Canada only)
choose "outside US/CAN" for another country
Country if non-US and non-Canada
Your Email Address

Bike 1 Model (Breva, Eldorado, Quota, V7, etc.) Year
Bike 1 Odometer Readings start end
Bike 2 Model Year
Bike 2 Odometer Readings start end
Bike 3 Model Year
Bike 3 Odometer Readings start end
Bike 4 Model Year
Bike 4 Odometer Readings start end
Bike 5 Model Year
Bike 5 Odometer Readings start end
Bike 6 Model Year
Bike 6 Odometer Readings start end
Bike 7 Model Year
Bike 7 Odometer Readings start end
Bike 8 Model Year
Bike 8 Odometer Readings start end
Bike 9 Model Year
Bike 9 Odometer Readings start end
Bike 10 Model Year
Bike 10 Odometer Readings start end