THE TITANIUM BUTT Registration Form (for your fifth tour, use this Titanium Butt Reg Form)
To print, right click your mouse, press print
the titanium Butt is open to motorcycles of all sizes and makes, cars, trucks or any over the road registered vehicles.
Before leaving for the Tour :
Registration Fee: (each participant $50.00 U.S. Funds) (If you already did the Maine Four Corners Experience Tour,you do not need a waiver,we already
have it) All tour participants must send in a check or money order ,with the Registration Form, (located at the bottom of this sheet) for each participant.
Registration forms have to be sent to the Madawaska Four Corners Park Association, P.O. Box 261, Madawaska, Maine 04756,
Included with your Titanium Butt registration fee,when you are done the five tours,and to commemorate your achievement for completing the tour, you’ll
receive a tee shirt with the Titanium Butt logo, a certificate signed by the Governor of Maine, verifying that you completed the tour 5 times. Your name,
where you live, and make and year of your motorcycle, car, truck, will be added to our Maine finisher page on our website, along with the year of
completion. Participants not completing the Titanium tour will not be on the finisher page, and not eligible for the Titanium Butt tee shirt, and not be
eligible for a registration refund.
1.. To do the Titanium Butt you have to Register every time for 5 Maine Experience Tours, and follow all the same rules as the regular Experience Tour.
(ex: one gas receipts for every corner , picture, etc... ) There is no time limit. Save your receipts and photos.
At every corner, take a photo of yourself with your vehicle, raising one finger if this is your first tour, two fingers ,if it is your second tour etc... Or you
may use a cardboard with the number of the tour you are doing. Do this for the five tours. When you have finished one of the tours, send all 4 receipts,
marking the receipts tour #1, for tour #1, tour#2 for tour#2, etc, and the 4 photos at all four corners (every time you do the tour), to the Madawaska Four
Corners Park Association, Box 261, Madawaska, Maine 04756 through snail mail or e-mail at firstname.lastname@example.org
We already have your records, so if you did the tour previously it counts toward the five times.
After finishing the Tour , you may purchase a finisher gray granite paver, which will be installed in the Madawaska Four Corners Park. The cost of the
paver, will include "Maine Four Corners EXPERIENCE Tour". If you would like to have the Tour crest logo on the paver, this would be an extra $150.00 ,
plus the cost of the paver. The mode of transportation, used to do the tour will be added to the bottom of the gray granite paver.
Maine Four Corners Park EXPERIENCE Tour check points include :
Madawaska ( Four Corners Park), Lubec (post office), Kittery (trading post) and,
Grafton Notch (State Park)
Maine Four Corners Titanium Butt Registration Form
You can contact us at email@example.com PLEASE PRINT clearly
Please send this information with your check or money order
make of vehicle __________________________
Circle Your Tee Shirt size : small, medium , large, x large, xx large,
Please put X if you are a ______ passenger
|NOTE:Before leaving for the tour: Send:check or money order, for the amount of $50.00 -the signed notarized
waiver and Reg. Form to:
Four Corners Park Asso. P.O.Box 261 Madawaska,Maine 04756
When you finish the tour, e-mail your gas receipts and photos for faster returns to
firstname.lastname@example.org or use snail mail
I am registering for the 5th Experience Tour ,I put an X on the line
When the Tour is completed I understand I will become aTitanium Butt member