Return Form and Money To:

2001 STATE SERIES AWARDS BANQUET

C/O State Awards Committee
601 Kirk Lane, Brick, N.J. 08724

NAME: ________________________________________________________________________________

ADDRESS: _____________________________________________________________________________

CITY ______________________________________STATE ___________________ZIP ______________

PHONE: (           )_____________________________CLASS: __________________AGE: ____________

This year’s Awards Banquet will be held on November 17, 2001, at 5:00 PM, at the Brick Township Memorial High School Dining Room. (Lanes Mill Road) N.J.

ALL RIDERS WILL BE PAID GUESTS OF THE NEW JERSEY BMX – STATE SERIES RACE.

The charge per person for non-riders is $10.00 for Adults, $7.50 for children over age 4.  Please indicate how many guests will accompany your rider and include the correct payment.  Thank You.

NUMBER OF GUESTS _________________ AMOUNT PAID ___________________

Any questions please call:  Diane Boyd at (732) 458-1592.

FORM AND MONEY MUST BE RECEIVED BY OCTOBER 10, 2001