Biker Fly Ride Registration Form

To request a quote: Call 1.609.841.5326

After you receive your quote, please fill out the following form and press the Submit button below.

You will be taken to a printable page containing your information. Press the Print button and print out 2 copies--1 for your records and 1 to mail, with your minimum 30% deposit to:

Biker Fly Ride
P.O. Box 616
Berlin, NJ 08009

Make Checks Payable To:  R. E. Bray, Sr.

Personal Information:

Name:		Tel
Address:		Fax:
City,State:		Cell:
Email:		Zip:

 

 

 

Bike Information:

Make:		Year:
Model:		Tag:
Color:

Loading/Delivery Time:

Load/PickUp:	Please select Yes No
Delivery:	Please select Yes No

Flight Information:

Airline:		NR:
Arrival Date:		Time:	AM/PM
Airline:		NR:
Depart Date:		Time:	Am/Pm

EVENT:  Please click the circle next to the event you are going to attend. 1. Daytona Beach Biketoberfest 2015 (Oct 15th - 18th) 2. Daytona Beach Bike Week 2016 (Mar 4th - 16th) 3. Myrtle Beach Bike Week 2016 (May 13th - 22nd) 4. 76th Sturgis (Black Hills) Bike Rally (Aug 8th - 14th)

Amount of Deposit:	Please select 30% 40% 50% 60% 70% 80% 90% 100%	Check Number: