Visionary Promo Tour Step 1 of 7 14% We noticed you are not logged in, would you like to continue as "guest" or "login"?Email Address:* Phone Number:*Can we contact you with a text message?YesNoDrivers Name:* First Last Passangers Name First Last Tours Attended:* First Timer One Two Three or More Street Address:* Street Address City State / Province / Region ZIP / Postal Code Driver:* Small Medium Large X Large XX Large XXX Large XXXX Large XXXXX Large Select Tee Shirt Sizes below. Select one for the Driver and one for the Passenger. Additional shirts may be purchased further down.Passanger:* Small Medium Large X Large XX Large XXX Large XXXX Large XXXXX Large Vehicle Year:* Vehicle Make:* Vehicle Model:* Vehicle Color:* Attend All Cities:* Yes No I am a Long Hauler and will Attend All Cities (If Yes do not select cities below)Cities Attending: Select All Fri - Flint (kick off coffee stop) Fri - Mt Pleasant Sat - Boyne City Sun - Boyne City Mon - Cadillac Tue - Muskegon Wed - St. John RELEASE OF LIABILITY:* Yes Your vehicle must be fully insured and licensed. It is also understood, by your participation in this tour event, that you are accepting full responsibility for any damage, loss, and/or injury of any kind or nature that may result from operation of your vehicle. Further, by your signature and your participation you agree to hold Back to the Bricks® , Inc. and its committee, promoters and sponsoring organizations harmless from any liability which may arise from your participation in this tour. This form will remain confidential with the Back to the Bricks® committee.Name of Insurance Company: Comments: (enter additional passengers, t-shirts or any other information here)Product Name Quantity Price: $45.00 Quantity The cost of the Tour is $45.00. ($60.00 after April 1st) If you want to order extra T-Shirts or Lanyards please list it in the comments below and someone will contact you.Total $0.00 CAPTCHA Δ
