Print this page out and send in

Helena, Arkansas  
Fri., Sat. & Sun April 25, - 27, 200
3
 Registration Form 

Name: ____________________________________________________

Address: ___________________________________________________

City : ___________________________  State: ________ Zip: ________

E-Mail Address: ____________________     Phone # _______________

 Registration to the Wild Hog Music Fest & Motorcycle Rally includes:
1. Entry to the downtown festival grounds and bike parking.
2. General Admission to all festival music. 
3. Entry in the bike parade.
4. Entry in the poker run ONE HAND / bike additional hands $5.00.
5. Entry in any and all field events.
6. Entry in Sunday Bike Show at Isle of Capri Lula.
7. Eligible for prize drawings throughout festival.
8. Choice of Wild Hog Pin or Patch or Year 2003 Pin that goes under Logo pin for those that already have the logo pin from last year   Choose one  Pin ____    Patch _____   Yr. Pin _____

Wild Hog Music Fest  &  Motorcycle Rally registration fee is $20.00 for bike & rider. Passenger registration is $5.00 additional.
Save $5.00 -  Register before April 15, 2003 entitles
bike, rider & passenger to register for $20.00. 

Wild Hog "VIP" Registration $100.00 adds 2 VIP wristbands, 2 festival shirts and website recognition.

                           
Make Checks Payable To: Wild Hog Music Fest & MC Rally 200
3

Mail your registration form, signed release form and fee to:
Wild Hog Music Fest 2003
P.O. Box 2617
West Helena, AR 72390

Website: www.wildhogmusic.org
E-Mail: wildhogmusic@hotmail.com
Fax # 870 572-4130        Voice #   870 572-3408