To register for our event, please complete the above form.
​For any questions on registration please email SpaceCoastMotors@yahoo.com
To pay by phone, please contact Tony Gonnelly (321) 258-8531

Rider Fee is $60 per person, this includes one banquet ticket, additional tickets can be purchased for $25 during the event.
​Please make checks payable to Space Coast Motor Officers Inc. and mail check to:

Space Coast Motor Officers
P.O. Box 120613
West Melbourne, Florida 32912

PLEASE REMEMBER-BANQUET IS ADULTS ONLY !

Price Per Rider

$60.00

Pay for Riders

w9_signed.pdf
File Size:	99 kb
File Type:	pdf

Download File

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Download our W9 file here: