THE CANADIAN MOTORCYCLE HALL OF FAME MUSEUM NOMINATION FORM

Click 'Print' on your browser and submit this form with your supporting documentation

I (your name)
Of (street address)
City: Prov: Postal Code:
Telephone: _ _ _ - _ _ _ - _ _ _ _ Fax: _ _ _ - _ _ _ - _ _ _ _ E-mail:
Hereby Nominate:
Of (street address)
City: Prov: Postal Code:
Telephone: _ _ _ - _ _ _ - _ _ _ _ Fax: _ _ _ - _ _ _ - _ _ _ _ E-mail:
Eligible Categories

(circle one or more)

Competitor: Riders
Team Member: Designers. Crew. Mechanics. Team Managers. Other.
Racing Contributor: Track owner /Operators. Officials. Sponsors. Other.
Motorcycling Contributor: Individuals. Dealers. Clubs. Organizations. Corporations. Media. Associations. Volunteers. Authors/Journalists. Other.

COMPETITIVE DISCIPLINES

(circle one or more)

Dirt Track - Hill Climb - Road Racing - Supermotard - Drag Racing - Ice Racing - Speedway - International Competition - Enduro - Motocross - Sidecar Racing - Womens Racing - Supercross - Hare Scrambles - Vintage Racing - Trials - Other

I believe this person/organization should be nominated for the following reason(s)











I am submitting the following Supporting Documentation
Note: This is mandatory to validate the Nomination. Please list your attachments.











Please indicate if you wish documents returned: ____ YES or ____ No


Signature _________________________________ Dated _____________________200____

Please forward your nomination to the attention of:
Nomination Committee Chairman
Canadian Motorcycle Hall of Fame Museum
8780 Baldwin St. Ashburn Ontario LOB 1A0
The Nomination form may also be faxed to (905)655-3812



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