G T THUNDER 

REGISTRATION FORM 

Instructions:  Print out this form, fill in all the information, and fax in. A non refundable deposit of $200.00 is required to register - the balance is due the morning of your class. Your deposit can be used for a later class if the original class you registered for is full.  

Mail to:  GT Thunder, 6748 TR 630 , Millersburg, OH  44654   

Fax to: 330-674-2437

Return Address and Information:

Name:             _______________________________________________________________________________ 

Address:            ______________________________________________________________________________                       

City:                __________________________State: ______ Zip:_______________________ 

Phone:             __________________________   

Credit card #___________________________________________________________________

Exp. Date_________________  Security Code________________

Model:             __________________________  Type Riding:            ______________________