CODE: 3.081005LL 

 

Riders, please remember that the Iron Butt is a Rally, not a race.  You are put on notice that all bonus locations and in many cases local police departments and/or park police near bonus locations have been notified of our approximate arrival time in their area. 

 

 

                      

Packing List

 

   Rider Item                                              

 

   ____ Leg 3 – Maine to Denver

 

   ____  Fuel Log

 

   ____  Ask Rallymaster if there are any changes or corrections

 

   ____  Before leaving the checkpoint, make sure you can find each Bonus location and have a clear
             understanding of what is required to earn the bonus.

 

 

WARNING: DO NOT LEAVE THIS AREA UNTIL YOU HAVE VERIFIED THAT ALL PAPERWORK IS IN YOUR RALLY PACKAGE.  THIS IS YOUR RESPONSIBILITY!

 

In order to be scored, you must present this bonus listing with score sheet and fuel log.  You are free to tear apart and remove any pages that are not needed (for example, if you decide to skip all the bonuses on page 4, you may remove that page).  However, if you lose a page from the bonus listing, you may not claim any bonuses on that page.  If you lose the score sheet, it may be replaced at the next checkpoint but it will cause you to receive a 1,000-point penalty.  If you lose the fuel log page, you will get no points for a fuel log.

 

 

 

IMPORTANT CAUTION: The following Potential Bonus locations are like a restaurant menu. If you order everything on the menu and eat it, you are going to get sick and perhaps die. Please pick and choose bonus destinations carefully!

 

NOTE: All times are local!

 

REMEMBER: Unless otherwise specified, I.D. Flags are required in all photos.

 

 

When you are out there bonus hunting, remember, the bonus is not bagged until you complete the paperwork!

 

 

 

 

 

 

 

 

Checkpoint Information

 

  

Finish:    Friday, September 2, 2005    8 a.m. to 10 a.m. Denver, Colorado      6000 points

 

 Doubletree Hotel Denver

                                                             3203 Quebec Street

                                                             Denver, CO 80207

                                                            303-321-3333 

 

Located in Northeast Denver, the Doubletree Hotel Denver is approximately 16 miles from Denver International Airport. From I-70, exit south on Quebec Street. The hotel is located 2 miles south on the west side of the street at the corner of Quebec Street and Martin Luther King.

 

Rally staff will be available at 5 a.m. to begin check-in.

 

Riders due in by 8:00:00 a.m. Any rider who arrives after 8:00:00 a.m. will be charged with a 20 point per minute penalty. Minutes will be rounded up at one second past the key time. For example, 8:00:01 (one second past 8:00 a.m.) will be counted as 1 minute late. Any rider who arrives after 10 a.m. (10:00:01 a.m.) will not be a finisher of the rally.

 

Friday, September 2, 2005: Award banquet will begin at 5 p.m.

 

 

NOTE and WARNING:

Missing this checkpoint means you will NOT be a finisher of the rally.

 

 

 

* * * * END OF CHECKPOINT INFORMATION * * * * * * *

 


"Careful planning can always make a long trip even longer...." Bob Irwin  May 2001

 

* * * * * * * * * * * * *   Maine to Denver – Leg 3   * * * * * * * * * * * * * *

1,000 points total to obtain points for fuel purchase records; riders must submit a receipt for every fuel purchase with the following information on the receipt:  1) location (city/town and state), 2) date, 3) time, and 4)

volume (gallons or liters) purchased.

 

If any of the required information is not printed on a receipt, it must be hand written on the receipt.  Any error in the printed date should also be corrected by hand.  (Errors in the printed time need not be corrected IF

YOU ARE KEEPING A FUEL LOG.)  Also write the telephone number of the station on the receipt if you correct an error other than a time error.  Motorcycles with a fuel capacity of 7.0 or more U.S. gallons also

complete the "fuel log" sheet included in this package. The fuel log requires all of the same information as required on receipts plus the odometer reading and the correct time the purchase was made.  Remember that no points for fuel purchase records will be awarded to any rider that refuels between checking in and starting the next leg.

 

Code: GAS                                                                                                        Approved: ______________

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Ilwaco, Washington                                                      30,102 points                           Available 8 a.m. to dusk

Cape Disappointment Lighthouse

 

Take a photo of the sign showing a poem by Tennyson.

 

Ilwaco is located near the Pacific Ocean in extreme south west Washington where the Columbia River meets the Pacific Ocean. In Ilwaco take 2nd Ave. south west and continue as it becomes Robert Gray Dr. Stay left onto Fort Canby Rd/WA-100 and follow the signs to the lighthouse. From the lighthouse parking lot, there is a 3/4 mile hike to the sign.

 

Time: _____________ Odometer: _____________ Code: CD                        Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Oneonta, Alabama area                                               752 points                                Available daylight hours           

Horton Mill Covered Bridge

 

Take a photo of the entrance including the Horton Mill Bridge sign over the bridge.  

 

WARNING: The bridge is operational and open to through traffic.

 

Located in north central Alabama, Oneonta is 35 miles north east of Birmingham at the intersection of AL-75 and US-231.  The bridge is on Horton Mill Road, just west of AL-75. Horton Mill Road is approximately 5.2 miles north of Oneonta and approximately 8.5 miles south of Snead, Alabama (which is at the junction of AL-75 and US-278).  Horton Mill Bridge was built in 1935 and is the highest covered bridge over water in the nation.

 

Time: _____________ Odometer: _____________ Code: HM                       Approved: ______________

 

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Portsmouth, New Hampshire                            555 points                    Open: 11 a.m. to 6 p.m. August 29, 2005

Federal Cigar Store

10 Ladd Street 603-436-5363

 

Pick up a certified-stamped copy of The New Hampshire Gazette with the Iron Butt Rally ad welcoming us to town located inside it  (the Gazette is the Nation's Oldest  Newspaper - it has been in production since 1756) from Federal Cigar Store.  Do NOT pick up a copy from another source, it will not have the required stamp inside by Federal Cigar Store employees.

 

WARNING: If you arrive late, you may NOT pick up a Gazette from another source!  You must arrive on time to collect this bonus as Federal Cigar Store will be recording which riders stop for the papers.

 

Portsmouth is located on the New Hampshire/Maine border just to the east of I-95.  From I-95, take Exit 7; turn left on Market Street Extension to downtown, proceeding east, then southeast for .9 mile. (Market St. Extension narrows and becomes simply Market Street, which is One Way. Beware the right at the Sheraton, it will take you onto Russell and Deer Streets and get you quite lost.) At Bow St. on the left, with the King Tiki bar ahead, Market St. deviates about 30 degrees to the right. Proceed south .08 mile. At Market Square, with the white steeple of North Church ahead, bear right. Proceed southwest along Congress St. about 150 feet to High St. Turn right on High St - One Way. Proceed northwest about 200 feet to Ladd St - One Way. Turn right on Ladd St, proceed less than 100 feet east-northeast to Federal Tobacconists.

 

Time: ___________ Odometer: _____________   Code: NH                          Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Rockland, Maine area                                                  1,201 points                             9 a.m. to sunset

Owl’s Head Lighthouse

 

Take a photo of the lighthouse.

 

Rockland is located on the coast of Maine, approximately 40 miles southeast of Augusta and 70 miles northeast of Portland, Maine. Ride south from Rockland on ME-73 approximately 2 miles Turn left on N. Shore Drive and ride approximately 3 miles then left on Main St. for 1/10 miles and turn left on Lighthouse Rd. and follow until it ends in a parking lot. Walk approximately ¼ mile to the Lighthouse.

 

Time: _____________ Odometer: _____________ Code: OH                                    Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * * * * ** Meadows of Dan, Virginia area                                    2,210 points                             Available daylight hours

Mabry Mill

 

Take a photo of the mill.

 

From I-81 exit 114 at Christiansburg, Virginia. Take VA-8 south approximately 25.5 miles to Blue Ridge Parkway. Take the Blue Ridge Parkway south approximately 10.9 miles to Mabry Mill on left at milepost 176.

 

Time: _____________ Odometer: _____________ Code: MM                      Approved: ______________

 

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Cullman, Alabama area                                                613 points                   Available 9:00 a.m. - sundown 

Clarkson Legg Bridge

 

Take a photo of the historic marker with the bridge in the background.

 

Cullman is in north central Alabama, 32 miles south of Decatur, Alabama on US-31, at the intersection of US-278.  In Cullman, from Exit 308 on I-65, take US-278 west about 7 miles (will see sign for bridge). Turn north on CR-1117/Bethel Battle Ground Rd and go about 0.7 miles.  Turn west on CR-1043 and go about 0.5 miles. The bridge is on the right.  

 

The bridge was built in 1908 and spans 250 feet across the Crooked Creek gorge.

 

Time: _____________ Odometer: _____________   Code: LE                       Approved: ______________

 

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Livingston, Alabama                                                     727 points                                Available daylight hours

Alamuchee Bridge

 

Take a photo of the historic marker.

 

The Alamuchee Bridge is on the campus of the University of West Alabama which is about 20 miles north west of where I-20 crosses the Mississippi border. From I-59/I-20 Exit 17, go south on AL-28 for approximately 1.5 miles to US-11.  Turn south on US-11 and go 8/10 mile.  Turn west on University/Lake Drive (there will be a large Univ. of West Alabama sign and a small sign for Livingston Community Center).  Take the immediate left (just over 250 feet, there will be a sign for the bridge).  Go about a 1/2 mile.  The historic marker is located just before you get to the bridge.  The bridge is behind Reed Hall.   Some parking is available at Reed Hall

 

Time: _____________ Odometer: _____________ Code: AB                        Approved: ______________

 

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Waterproof, Louisiana                                      917 points                    Available daylight hours

Water tower

 

Take a picture of the water tower near the center of town, with the town name visible in the picture

 

After several Mississippi River floodings, the entire town was moved 2 miles west from its original riverside location, and it is now protected by a massive levee.

 

This bonus is located in the town of Waterproof in east central Louisiana, approximately 18 air miles north of Natchez, Mississippi. A good access into town is from US-65 at LA-566 (Texaco Station at this junction). Ride east from this junction for 1/10 mile. At the T-intersection, turn north (no street sign) and ride 7/10 mile. Turn east on 5th Street and ride 3/10 mile. Turn north on E Street and ride to the water tower at Church Lane.

 

Note: There is also another town named Waterproof in Louisiana, much farther south, about 55 miles southwest of New Orleans. That more southerly town is not the bonus location.

 

Time: _____________ Odometer: _____________ Code: WP                                   Approved: ______________

 

 

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Corolla, North Carolina                                                3,513 points                 Available daylight hours

Currituck Beach Lighthouse

 

Take a picture of the sign in the parking lot at the base of the Lighthouse marked "Currituck Beach Lighthouse and Museum Shop"

 

The Currituck Beach Lighthouse is located in extreme northeastern North Carolina, Corolla, North Carolina which is at the Northern dead-end of NC-12 on the Outer Banks,  from the intersection of US 158 and NC-12 in Southern Shores, NC (Southern Shores is just north of Kitty Hawk) go north 20.7 miles on NC-12. On your left is a well marked sign for the Currituck Heritage Park.  Continue 1/10 mile north on NC-12 and the next road on your left is the lighthouse parking lot. This short side-road is not marked, but the lighthouse is very obvious.

 

Time: _____________ Odometer: _____________ Code: CU                                    Approved: ______________

 

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Hannibal, Missouri                                            988 points                                           Available daylight hours

Mark Twain Memorial Lighthouse

 

Walk up the stairs to the lighthouse and take a photo of the door.

 

Hannibal is located near the north east border of Missouri, on the west bank of the Mississippi River.

US-36 runs though town roughly east-west.  Mark Twain Memorial Lighthouse is located at the north end of downtown Hannibal, approximately 8/10 miles from the junction of US-36/I-72, exit 157 “Louisiana – Downtown Hannibal.”  Follow MO-79 (Mark Twain Avenue) south until it turns towards Downtown Hannibal (Third Street).  At that curve, make a sharp uphill turn to the north (left) on to East Rock Street, the lighthouse is located at the top of the hill.

 

Time: _____________ Odometer: _____________ Code: MT                        Approved: ______________

 

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Grassy Key, Florida                                                     9,876 points                 Available daylight hours

Dolphin Research Center

(near Mile Marker 59 on US-1)

 

Take a picture of the 30 foot high statue of a mother dolphin and her calf next to the Dolphin Research Center

 

The Dolphin Research Center is located in Grassy Key in the keys of extreme southern Florida. The Center is approximately 47 miles south of Key Largo on US-1, near milepost 59, on the gulf side of the highway. Note: Florida has four locations named Grassy Key. Make sure you are at the correct one.

 

 Time: _____________            Odometer: _____________ Code: GK                        Approved: ______________

 

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Hot Springs National Park, Arkansas                            1,034 points                             Available 24 hours

Central and Reserve streets

 

Take a picture of the fountain located immediately east of the corner of Central and Reserve Streets

 

NOTE: Bring your drinking bottles for a sample or to fill. This is healthy mineral water that people come from around the world to sample. 

 

Hot Springs National Park, Arkansas    is located in central Arkansas approximately 50 miles southwest of Little Rock, Arkansas at the intersection of US-70/Bus.US-270 and AR-7.  There are several ways to get to Central and Reserve, the most straightforward is at the intersection of US-70 and AR-7,  turn north on AR-7 (Central Avenue) and follow it to Reserve (which is approximately 8 blocks north in the central business district).  There is on-street and lot parking near the fountain, but you must turn off of Central Avenue (you may have to back track to Reserve) to find it.  If you get to Bath House Row (a series of large Bath Houses on your right), you have gone too far north.

 

Time: _____________             Odometer: _____________ Code: HS             Approved: ______________

 

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Woodsville, New Hampshire                                        1,821 points                 Available daylight hours

Bath-Haverill Bridge

 

Take a picture of your motorcycle in front of the bridge.

 

Woodsville is located on US- 302, 3 miles east of the intersection of I-91 and US-302 in north western New Hampshire. The bridge is located at the western edge of Woodsville on NH-135 (Court St), approximately 1/4 mile north of US-302 (Central St).

.

Time: _____________ Odometer: _____________ Code: BH                                    Approved: ______________

 

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Buxton, North Carolina                                     1,201 points                             Available daylight hours

Cape Hatteras Light Station

 

Take a photo with your rally flag on the light station sign with lighthouse in background.

 

In north east North Carolina, Hatteras Island is off the coast in the Cape Hatteras National Seashore and can be reached from the north by NC-12 south to Buxton, North Carolina., or by ferry from the south. Once in Buxton, go south on Lighthouse Rd.

 

 Time: _____________ Odometer: _____________ Code: CH                                   Approved: ______________

 

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Sioux Falls, South Dakota                                 3,451 points                             Available daylight hours

Falls Park

 

Take a picture of the waterfalls in Falls Park from the bridge inside the park.

 

Sioux Falls is located in southeast South Dakota near the intersection of I-29 and I-90.   From the intersection of I-29 and I-229, take I-229 (north but not marked north) to Minnesota Avenue (3rd exit), turn north on Minnesota Ave and ride approximately 2.8 miles to 6th Street. Turn east on 6th street and ride 3 blocks and turn north on Phillips Ave. Ride approximately ½ mile to the Falls Park entrance road.  Inside the park, find the bridge that leads you to the Overlook Café.

 

Time: _____________ Odometer: _____________   Code: SF                                   Approved: ______________

 

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New York, New York                                                 967 points                                Available daylight hours

Brooklyn Bridge

 

Take a picture of the Brooklyn Bridge

 

The Brooklyn Bridge is located in New York City on the southern tip of Manhattan connecting it to Brooklyn.   You may take a picture of the bridge from any angle and on either the Brooklyn or Manhattan side of the bridge.  Warning, there are other bridges in the area (Manhattan, Williamsburg), make sure you are taking a picture of the correct bridge.

 

Time: _____________ Odometer: _____________   Code: NY                                  Approved: ______________

 

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Paradise, Nevada (aka Las Vegas, Nevada)             1,183 points                                 Available 24 hours daily

New York, New York Casino

3790 Las Vegas Blvd South

 

Take a picture of the Brooklyn Bridge in front of New York, New York casino.

 

Las Vegas, Nevada is located in southeastern Nevada on I-15.  New York, New York is located east of I-15.  Take exit 37, Tropicana Avenue east one long block.  You will probably have to park your motorcycle in the casino parking lot (which is of course a little difficult to get to taking this exit) or possibly pull into the drive and quickly take your picture of the bridge.  You can take the picture of one of the bridge uprights from the side street on the northeast side of the casino; we do not need the entire span in the picture.

 

Time: _____________ Odometer: _____________   Code: LV                                  Approved: ______________

 

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* * * * * * * * * * * * * * * * * * * * * * * Combination Bonus! * * * * * * * * * * * * * * * * * * * * * * * * *

The Big Combo Bonus                        7,345 points                                         Available this leg only

 

Successfully complete the following bonuses:

 

Brooklyn Bridge, New York bonus, Brooklyn Bridge, Las Vegas, Nevada bonus, and both Rest Bonuses (R3) and (R1)

 

And receive additional points as noted above!

 

To claim this bonus, sign here: _______________________    Code: B3    Approved: ____________________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Delaware                                                                      402 points                                Available 24 hours

Delaware Memorial Bridge

 

Pick up a toll receipt from the Delaware Memorial Bridge

 

The Delaware Memorial Bridge is in northern Delaware, approximately 5 miles southeast of Wilmington, DE, and joins Pennsville, New Jersey, and New Castle, Delaware.

 

Time: _____________ Odometer: _____________ Code DM                        Approved: ______________

 

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Fort Payne, Alabama area                                            1,210 points                             Available daylight hours

Little River Canyon Falls

 

Take the short hike to the interpretive sign at the falls (NOT the sign in the parking lot) and take a photo of the sign WITH the falls in the background.

 

In Northeast Alabama, Fort Payne is on I-59, approximately 20 miles southeast of where I-59 crosses the Georgia border. From I-59, take exit 222, and follow US-11 south for approximately 3 miles. Turn south on AL-35 and ride for approximately 7.5 miles to Little River Falls Parking Lot. The parking lot is about a half mile past the bridge over Little River.

 

Time: _____________ Odometer: _____________ Code: RC                        Approved: ______________

 

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Trinidad, California                                                       3,699 points                             Available daylight hours           

Trinidad Memorial Light

 

Take a photo of the door of the lighthouse.

 

Trinidad is on the Northern California coast about 18 miles north of Eureka on US-101. From US-101, exit at Westhaven Dr. and go west. Westhaven becomes Main St. Turn south on Trinity St and then right on Edwards. Light is on your immediate left, below the parking spaces.

 

Time: _____________ Odometer: _____________ Code: TC                        Approved: ______________

 

Petit Shippagan, Ile Lameque, New Brunswick 10,001 points                          Available daylight hours           

Black Point Lighthouse

 

Take a picture of the lighthouse.

 

Ile Lameque (also known as Shippagan Island) is an island between mainland New Brunswick and Miscou Island, and is approximately 20 miles east of Caraquet, NB. Black Point Lighthouse is located along the north coast of Ile Lameque, approximately 1 mile east of the southern end of the bridge to Miscou Island, one block off NB-113 on Lighthouse Rd.

 

Time: _____________ Odometer: _____________ Code: NB                        Approved: ______________

 

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Crescent City, California                                               6,101 points                                Available 24 hours

Crescent City Chamber of Commerce

Tsunami Memorial

 

Take a picture of the display case titled Crescent City Tsunami, 1964.

 

Crescent City is located approximately 20 miles south of the Oregon border on US-101. From US-101, turn west on Front Street for 1/10 mile. Park and find the display on the first landing up from the sidewalk.

 

Time: _____________ Odometer: _____________ Code: CC                   Approved: ______________

 

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Panama City Beach, Florida                                          3,999 points                             Available daylight hours

Sharky’s

15201 Front Beach Road

 

Take a picture of your bike under the shark.

 

Panama City Beach is located on the west end of the Florida panhandle, approximately 120 miles east of the Alabama border on the Gulf Coast. Front Beach Road runs right along the beach and is also marked as US-98A and FL-30

 

Time: _____________ Odometer: _____________ Code:  SH                       Approved: ______________

 

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Fayetteville, West Virginia area                        3,410 points                                        Available daylight hours

New River Gorge Bridge

 

Take a photo of the New River Gorge Bridge.

 

The New River Gorge Bridge is located in southwest West Virginia, approximately 25 miles north of Beckley, West Virginia.  The bridge is on US-19, approximately 1.5 miles northeast of Fayetteville, West Virginia.

 

Time: _____________ Odometer: _____________ Code:  NR                       Approved: ______________

 

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DeSoto Falls, Alabama                                                  1,632 points                Available daylight hours

  

Take short walk to the cascade falls below the dam.  Take a photo of the cascade falls with the warning sign that says ‘Dangerous Overlook’ with the dam in the background. 

 

DeSoto Falls is located in northeast Alabama, approximately 15 miles southeast of I-59 at the Georgia border. From I-59, take exit 231 (Hammondville) and follow AL-117 southeast for approximately 5 1/2 miles to County-89 (DeSoto Parkway). Turn south on County-89/DeSoto Parkway and ride for approximately 2 miles to the DeSoto Park Lake and Falls access road (see sign for falls). Turn left and ride to the parking lot at the end of the road.

 

Time: _____________ Odometer: _____________ Code: DS                        Approved: ______________

 

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Franklin, North Carolina area                                                   2,110 points                 Available daylight hours

Bridal Veil Falls

 

Take a photo from behind the falls (the water will be coming down in front of you as you are actually under a rock ledge under and behind the falls) – your rally flag does NOT have to be in this photo.

Located in the far western corner of North Carolina, Franklin is approximately 115 air miles east of Chattanooga, Tennessee at the intersection of US-64 and US-23, near Higdonville. From the Franklin area, take US-64 approximately 14 miles east. The falls flow over Old US-64 and are very recognizable. Park in the pull off area.

 

 Time: _____________ Odometer: _____________ Code: BV                                   Approved: ______________

 

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Fort Payne, Alabama area                                                        642 points                      Available daylight hours

Hawks Glide Overlook

Little River Canyon

 

Take a photo of the Hawks Glide sign with the safety railing and canyon in the background (this is not a test of your ability to shot the canyon, just point the camera toward the canyon when standing to the left of the sign).

 

In Northeast Alabama, Fort Payne is near I-59, approximately 20 miles southeast of where I-59 crosses the Georgia border. From the junction of AL-35 and AL-176, about 7.5 miles east of Fort Payne near Little River

Falls, take AL-176 south along the rim of Little River Canyon.  You will reach Hawks Glide Overlook in approximately 3.5 miles.

 

Time: _____________ Odometer: _____________ Code: HG                   Approved: ______________

 

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Ocracoke Island, North Carolina                                  19,222 points               Available daylight hours         

Ocracoke Lighthouse

 

Take a photo of the Ocracoke Lighthouse

 

In east central North Carolina, Ocracoke Island is off the coast in the Cape Hatteras National Seashore and can be reached only by ferry from one of 3 different locations. Once on the island, take NC-12 to the village of Ocracoke, then take Lighthouse Road 2 blocks to Ocracoke Lighthouse. NOTE: This bonus requires a ride on one of three ferries that serve Ocracoke Island.  Due to the high points involved, should a ferry be closed due to weather or mechanical problems, you must try, and document, that you reached all three ferry terminals during normal operating hours and each of the three ferries were closed to claim this bonus.

 

Time: _____________ Odometer: _____________ Code: OI                         Approved: ____________

 

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Ponce Inlet Lighthouse                                      2,399 points                             Available daylight hours

Ponce Inlet, Florida

 

Take a picture of the Ponce Inlet Lighthouse

 

Ponce Inlet, Florida is located in northeast Florida on the Atlantic Ocean immediately south of Daytona Beach, Florida. From southbound I-95 in Florida take exit 256.  Zero odometer at end of exit ramp.  At 0.0 miles turn left (onto what will be marked as Dunlawton Ave. or Rt. 421).  At 5.1 miles, turn right at T (onto what will be marked as S. Atlantic Ave.). At 10.4 miles, turn right at STOP onto Beach St. At 10.7 miles, turn left at STOP onto S. Peninsula Dr. At 10.9 miles turn left into the Ponce Inlet lighthouse parking lot.

      

Time: _____________ Odometer: _____________   Code: PI                        Approved:______________

 

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Houston, Texas area                                                    3,702 points                             Available daylight hours

Fred Hartman Bridge

 

Take a photo of your motorcycle with the bridge in the background.

 

Baytown, Texas, is approximately 25 miles east of downtown Houston, Texas. The Fred Hartman Bridge is part of TX-146, crossing the shipping channel south of Baytown. A good vantage point for the photo is the Baytown Waterfront District on the north side of the channel. Riding south from Baytown on TX-146, take the Missouri St exit and ride southeast on Missouri Street approximately 1/4 mile. Turn right on Wyoming Street and ride south and into the entrance of the Waterfront District.

 

Time: _____________ Odometer: _____________ Code:  FH                       Approved: ______________

 

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Prince Edward Island, New Brunswick, Canada                       9,222 points                  Available daylight hours

Cape Bear Lighthouse/Marconi Station

 

Take a photo of your motorcycle in front of the lighthouse.

 

Prince Edward Island is located east of New Brunswick, across the Northumberland Strait in the Gulf of St. Lawrence. Cape Bear is on the southeast point of PEI, overlooking the Northumberland Strait From the southern junction of PE-4 and PE-18, ride east on PE-18 (Cape Bear Road) for approximately 8 miles, to Black Brook Road. Continue northeast on Black Brook Road, following the signs to the lighthouse

 

Cape Bear was the first Canadian land station to hear the SOS signal from the Titanic as she sank in 1912.

 

Time: _____________ Odometer: _____________   Code: BR                      Approved: ______________

 

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Cape Blanco, Oregon                                       3,217 points                                         Available daylight hours

 

Hang your rally flag on the low rope fence in front of the lighthouse to the left of the Visitor Center and take a photo with the lighthouse in the background.

 

Cape Blanco is on the southern Oregon coast approximately 8 miles north of Port Orford, OR. From US-101 take Cape Blanco Hwy west to the parking lot at the end of the road. There is a small portion of the road that is good dirt, but it is a one lane road so watch for oncoming traffic.

 

Time: _____________ Odometer: _____________   Code: BO                      Approved: ______________

 

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Frostburg, Maryland                                                     472 points                                Available daylight hours

Noah’s Ark

 

Take a photo of your motorcycle in front of the ark framework.  

 

Frostburg is in extreme northwest Maryland approximately 10 miles west of Cumberland, Maryland. From I-68, take exit 34 and ride north on MD-36 to Cherry Road, which is immediately north of the interstate. Turn west on Cherry Road and ride 7/10 mile to the Ark.

 

Time: _____________ Odometer: _____________ Code: NA                        Approved: ______________

 

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Eureka Springs, Arkansas                                             912 points                                Available 24 hours

    

Get picture of the Eureka Springs population sign on AR-23 next to the church.   

 

Eureka Springs is located in the north west corner of Arkansas, approximately 50 miles west of the Oklahoma border. At the intersection of US-62 west and AR-23 south (this is the southern intersection of US-62 and AR23).  Take AR-23 south 8/10 mile to the Assembly of God church and pull in alley behind church to park

 

Time: _____________ Odometer: _____________ Code: ES             Approved: ______________

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Pick up a toll receipt    

                                                                         

The Confederation Bridge is located between New Brunswick and Prince Edward Island in eastern Canada.   The bridge is at the tip of Cape Tormentine (near Bayfield, New Brunswick), which is approximately 50 miles to the east of Moncton, New Brunswick.

 

Time: _____________ Odometer: _____________ Code:  CB                       Approved: ______________

 

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St. Marys, Georgia                                                       3,333 points                             Available daylight hours

Kings Bay Naval Base

 

Take a photo of the ‘submerged’ submarine

 

You’ll find St. Marys in the south east corner of Georgia, about 7.5 miles from the Atlantic Ocean and only 5 miles north of the Florida border. The Bancroft Sail Exhibit is located directly in front of the main entrance to Naval Submarine Base Kings Bay at the intersection of St. Marys Road and Georgia State Highway Spur 40.  From I-95, take exit 1, St. Marys Road, and ride east to the Kings Bay Naval Submarine Support Base.

 

Time: _____________ Odometer: _____________ Code: KB                                    Approved: ______________

 

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Campbellton, New Brunswick                          3,310 points                             Available daylight hours

Campbellton Lighthouse

 

Take a photo of your motorcycle in front of the lighthouse.

 

Campbellton is located in extreme north central New Brunswick, at the mouth of the Restigouche River, which separates Quebec and New Brunswick. Campbellton is directly north of NB-11. The lighthouse is at the north edge of town, along Ritchie St, one block north of Water St (NB-134).

 

Time: _____________ Odometer: _____________ Code: CL                                    Approved: ______________

 

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Rock Island, Tennessee                                                987 points                    Available daylight hours

Rock Island Dam

 

Take a photo of your motorcycle in front of the Welcome to Rock Island State Park sign

 

Located in central Tennessee, Rock Island is approximately 12 miles north east of McMinnville. From US-70S, exit north on TN-136 and ride approximately 1.2 miles. Turn left on TN-287 and ride 1 mile west to Rock Island State Park.

 

Time: _____________ Odometer: _____________ Code: RI                          Approved: ______________

 

Port Isabel, Texas                                                         7,987 points                             Available daylight hours

Port Isabel Lighthouse

 

Take a photo of the Texas Parks and Wildlife state historical site sign marking the Port Isabel Lighthouse location.   


Located in the very southern tip of Texas near the Gulf of Mexico approximately 22 miles north east of Brownsville. From the intersection of US-77 and TX-100, turn east on TX-100 and ride approximately 25 miles, then turn left on South Tarnava. (There is no street sign at this corner, but the lighthouse is very visible on the left)  Port Isabel Lighthouse is located at the intersection of TX-100 and North Tarnava Street in Port Isabel, TX.  

 

Time: _____________ Odometer: _____________ Code: IT              Approved: ______________

 

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Rest Bonus – no specific location                                4,500 points                 Must start on September 1, 2005

 

Stop for 3 or more hours.  Document this stop as follows:

 

___ at the start of the rest period, obtain a dated, time receipt from a location, for example, a gas station, a motel, a store, etc.

 

___ at the end of the rest period, obtain a dated, time receipt from the same location

 

Our preference is that you also include your motel receipt with this bonus if you motel it, however, it is not required.

 

WARNING: We are giving you wide latitude on this bonus with few restrictions so that you may have the flexibility to use it as needed.  However, we want to stress that if you are caught bending the rules in the slightest, you will be expelled from the rally.  This bonus DOES NOT mean “get a receipt and go collect bonuses”, it means stop and rest.  If you have any doubt what STOP means in a bonus, ask John Ferber for a detailed explanation.

 

Time: _____________ Odometer: _____________   Code: R1    Approved:____________________

 

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Shelburne, Vermont                                                      942 points                                Available daylight hours

Shelburne Museum Covered Bridge

 

Take a photo of your motorcycle in front of the bridge.

 

Shelburne is located in northwestern Vermont, approximately 7 miles south of Burlington, Vermont. From the junction of I-89 and I-189, near Burlington, Vermont take I-189 west until it ends at VT-7. Go south on VT-7 approximately 5 miles. On the west side of the road is Shelburne Museum. The bridge is part of their display.

 

Time: _____________ Odometer: _____________ Code: SM                                    Approved: ______________

 

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Johnson, Vermont                                                         654 points                                Available daylight hours

Power House Bridge

 

Take a photo of your motorcycle in front of the bridge.

 

Johnson is located in north central Vermont, approximately 25 air miles northeast of Burlington, Vermont. From the junction of VT-15 and VT-100C in Johnson, ride east on VT-100C for approximately 4/10 mile to School Street. Bridge is located on School Street to the West.

 

Time: _____________ Odometer: _____________ Code:  HB                                   Approved: ______________

 

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Wolcott, Vermont                                                         310 points                                Available daylight hours

Covered Railroad Bridge

 

Take a photo of the covered Railroad Bridge

 

Wolcott is located in north central Vermont, approximately 32 miles south of the Canadian border and 20 miles west of I-91. The bridge is located along VT-15 approximately 2 miles southeast of Wolcott, Vermont, on the south side of the highway.

 

Time: _____________ Odometer: _____________ Code: RR                                    Approved:______________

 

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Baltimore, Maryland  area                                787 points                    Available 8:30 am to dusk – 7 days a week

Patapsco Valley State Park

Thomas Viaduct

 

Take a photo of your motorcycle under viaduct 

Patapsco Valley State Park is near Elkridge, Maryland, just south east of Baltimore, Maryland. The viaduct is located north west of the intersection of I-895 and I-195, on South Street, 1 block north of US-1/Washington Blvd.   Turn left into Patapsco Park proceed on Park Entrance Road to contact station. Thomas Viaduct is in view behind contact station.

 Time: _____________ Odometer: _____________ Code: TV                       Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * Leesburg, Virginia area                                    1,304 points                             Available 5 am to 11 pm

White’s Ferry, Virginia/Maryland

 

Take a photo of your motorcycle on the ferry.

Leesburg is approximately 30 miles north west of Washington, DC. In Leesburg go north on US-15 approximately 3 miles and turn right at Whites Ferry Rd./MD655

.

Time: _____________ Odometer: _____________ Code: WF                       Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * * * * * * * * * * * * * * * * ** * * ** * * * * * Peninsula Point Lighthouse                                            3,507 points                 Available daylight hours 
Escanaba, Michigan area

Take a photo of the Peninsula Point Lighthouse

Peninsula Point Lighthouse is located in the northwest corner of Lake Michigan approximately 5 miles east of Escanaba, Michigan. From Rapid River, Michigan travel approx. 2.5 miles east on US-2 to Delta-County-513
(there is signage for the lighthouse on US-2), turn South, travel approximately 18 miles to the lighthouse.

Time: _____________ Odometer: _____________ Code: PP                         Approved:
______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Waterbury, Connecticut                                                           9 points                                    Available 24 hours       

 

Pick up a gas receipt from Waterbury, Connecticut

 

Waterbury, Connecticut is located in west-central Connecticut near the intersection of I-84 and CT-8.

 

Time: _____________ Odometer: _____________     Code: WC                   Approved: ______________

 

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Green River, Wyoming                                     23 points                                  Available 24 hours       

 

Pick up a gas receipt from Green River, Wyoming

 

Green River, Wyoming is located in southwest Wyoming near the intersection of I-80 and US-191

 

Time: _____________ Odometer: _____________     Code: GR                     Approved: ______________

 

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Green River, Utah                                                         47 points                                 Available 24 hours       

 

Pick up a gas receipt from Green River, Utah

 

Green River, Utah is located in east central Utah near the intersection of I-70 and US-191

 

Time: _____________ Odometer: _____________     Code: GU                    Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Colorado Springs, Colorado                                                     37 points                                 Available 24 hours       

 

Pick up a gas receipt from Colorado Springs, Colorado

 

Colorado Springs, Colorado is located in central Colorado near the intersection of I-25 and US-24.

 

Time: _____________ Odometer: _____________     Code: CS                     Approved: ______________

 

Rest Bonus – no specific location                                4,501 points                 Must start on August 30, 2005

 

Stop for 3 or more hours.  Document this stop as follows:

 

___ at the start of the rest period, obtain a dated, time receipt from a location, for example, a gas station, a motel, a store, etc.

 

___ at the end of the rest period, obtain a dated, time receipt from the same location

 

Our preference is that you also include your motel receipt with this bonus if you motel it, however, it is not required.

 

WARNING: We are giving you wide latitude on this bonus with few restrictions so that you may have the flexibility to use it as needed.  However, we want to stress that if you are caught bending the rules in the slightest, you will be expelled from the rally.  This bonus DOES NOT mean “get a receipt and go collect bonuses”, it means stop and rest.  If you have any doubt what STOP means in a bonus, ask John Ferber for a detailed explanation.

 

Time: _____________ Odometer: _____________   Code: R3                       Approved:____________________

 

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Riegelsville, Pennsylvania                                              701 points                                Available daylight hours

Riegelsville Suspension Bridge

 

Take a photo of the commemorative plaque at the west end of the bridge.

 

Riegelsville is on the Delaware River/New Jersey border in east central Pennsylvania, about 8 miles south of Easton, Pennsylvania.

 

From I-78, take Exit75/Morgan Hill Road and go south. Turn left on the frontage road, Cedarville Rd. and follow that to PA-611. Turn south on PA-611 and follow it along the Delaware River to Riegelsville, approximately 8 miles. Turn left on Delaware Road and ride several blocks through town to the bridge. Park in the area on the left just before you get to the bridge.

 

Time: _____________ Odometer: _____________ Code: RP                         Approved: ______________

 

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Sault Ste Marie, Michigan                                             397 points                      Available daylight hours only

Soo Locks                              

 

Take a photo of the Soo Locks

 

Soo Locks are located approximately 50 Miles north of the Mackinac Bridge in Michigan's Upper Peninsula.  From I-75, take exit. 392 or 394 and follow signs to the locks.

 

Time: _____________ Odometer: _____________ Code: SL                                     Approved:  ______________

 

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Bath, Maine                                                                             16 points                                  Available 24 hours       

 

Pick up a gas receipt from Bath, Maine

 

Bath, Maine is located along the coast of Maine approximately 30 miles northeast of Portland, Maine on US-1.

 

Time: _____________ Odometer: _____________     Code: BM                    Approved: ______________

 

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Delaware Water Gap bridge                                                    19 points                                  Available 24 hours       

I-80/Pennsylvania/New Jersey border

 

Pick up a toll receipt from the toll bridge on I-80 crossing the Delaware Water Gap between New Jersey and Pennsylvania.

 

The Delaware Water Gap Bridge is located on I-80 where it crosses the New Jersey and Pennsylvania state borders.

 

Time: _____________ Odometer: _____________     Code: WG                   Approved: ______________

 

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Dingmans Ferry Bridge                                                1,945 points                             Available 24 hours       

Dingmans Ferry, Pennsylvania

 

Pick up a toll receipt from the Dingmans Ferry Bridge crossing the Delaware Water Gap between New Jersey and Pennsylvania.

 

Dingmans Ferry Bridge is located approximately 10 miles south I-84, on the Delaware River on the New Jersey and Pennsylvania state borders.  This is one of the last remaining private bridges in the US and your toll collector may be grandma with her Apron on from cooking!

 

Time: _____________ Odometer: _____________     Code: DF                     Approved: ______________

 

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Easton, Pennsylvania                                                                167 points                                Available 24 hours       

Easton-Phillipsburg Toll Bridge

 

Pick up a toll receipt from the toll bridge on US-22 crossing the Delaware Water Gap between New Jersey and Pennsylvania.

 

The Easton-Phillipsburg Toll Bridge is located on US-22 where it crosses the New Jersey and Pennsylvania state borders.

 

Time: _____________ Odometer: _____________     Code: EA                     Approved: ______________

 

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Columbia, New Jersey                                                 7 points                                    Available 24 hours       

Portland-Columbia Toll Bridge

 

Pick up a toll receipt from the Portland-Columbia Toll Bridge crossing the Delaware Water Gap between New Jersey and Pennsylvania.

 

The Portland-Columbia Toll Bridge is located near the southwest side of Columbia, New Jersey on US-611A where it crosses the New Jersey and Pennsylvania state borders just south east of I-80 and 7 miles southeast of East Stroudsburg, Pennsylvania.

 

Time: _____________ Odometer: _____________     Code: CN                    Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Milford, Pennsylvania                                                               33 points                                  Available 24 hours       

Milford-Montague Toll Bridge

 

Pick up a toll receipt from the Milford-Montague Toll Bridge crossing the Delaware Water Gap between New Jersey and Pennsylvania.

 

The Milford-Montague Toll Bridge is located on US-206 where it crosses the New Jersey and Pennsylvania state borders approximately 2.5 miles south of I-84.

 

Time: _____________ Odometer: _____________     Code: MP                    Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Lava Beds National Monument                                     3,324 points                             Available daylight hours           

Petroglyph Point

 

Take a picture of the Petroglyph Point sign showing the island in Ancient Lake Modoc.

 

Petroglyph Point, Lava Beds National Monument  is located in extreme north-central California approximately 5 miles south of CA-139 on the NORTHEAST park entrance road (that runs on the east side of Tule Lake) and 10 miles south of  the Oregon/California border.  The Petroglyph section is not part of the main Lava Beds NM, it is located across the road from the southwest side of Tule Lake.

 

Time: _____________ Odometer: _____________     Code: LB                     Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Chicago Portage National Historic Site              508 points                                Available daylight hours           

Summit, Illinois

 

Take a picture of the Chicago Portage monument.

 

Summit, Illinois is located approximately 10 miles southwest of Chicago on I-55 (Stevenson Expressway).  Chicago Portage National Historic Site is located on the west side of Harlem Avenue (IL-43), approximately 3/10 mile north of I-55 exit 283.

 

Time: _____________ Odometer: _____________     Code: SI                      Approved: ______________

Stillwater, Oklahoma                                                    79 points                                 Available 24 hours       

 

Pick up a gas receipt from Stillwater, Oklahoma

 

Stillwater, Oklahoma is located in north-central Oklahoma approximately 67 miles west of Tulsa, Oklahoma.

 

Time: _____________ Odometer: _____________     Code: SO                     Approved: ______________

 

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Holly Springs, Mississippi                                             87 points                                 Available 24 hours       

 

Pick up a gas receipt from Holly Springs, Mississippi                

 

Holly Springs, Mississippi is located in north central Mississippi near US-78 approximately 50 miles south east of Memphis, Tennessee. Note: There is a second town named Holly Springs in Mississippi, about 250 miles south. The more northerly town, near Memphis, TN, is the correct location for this bonus

 

Time: _____________ Odometer: _____________     Code: HO                    Approved: ______________

 

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Golden Eagle, Illinois    area                                       987 points                                Available daylight hours           

 

Take a picture of your motorcycle on the Golden Eagle Ferry while the ferry is underway (so you are not getting on and off the ferry while it is in port).

 

The Golden Eagle Ferry is located northwest of St. Louis, Missouri and to the northeast of O'Fallon, Missouri where the Mississippi River takes a sharp turn back north toward Illinois. From I-70, take Missouri exit 222, MO-3/Mid Rivers Mall Drive/County-C.  Follow MO-3/County-C northwest (MO-3 weaves back and forth to avoid low-lying river areas and farm land) to near the river where you will come to the junction of County-B.  Turn east on County-B and follow it to Golden Eagle Ferry Road. Turn north on Golden Eagle Ferry Road.

 

The ferry operates daily 5 a.m. to 9 p.m. If the ferry is closed, you may document that and receive the points (and we hope you are on the right side of the river if that happens!)

 

Time: _____________ Odometer: _____________     Code: GE                     Approved: ______________

 

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Dorena, Missouri  area                                    287 points                                Available daylight hours           

 

Take a picture of your motorcycle on the Dorena, Missouri - Hickman, Kentucky Toll Ferry while the ferry is underway (so you are not getting on and off the ferry while it is in port).

 

The Dorena, Missouri - Hickman, Kentucky Toll Ferry is located approximately 40 miles southeast of the intersection of I-57 and I-55 in southeastern Missouri on the Mississippi River.  Ferries depart the Missouri side 7:30 am to 6:30 pm and the Kentucky side of the river 7:00 am to 6:15 pm.  If the ferry is closed, you may document that and receive the points (and we hope you are on the right side of the river if that happens!)

 

Time: _____________ Odometer: _____________     Code: DH                    Approved: ______________      

 

Blue Springs, Missouri                          13 points                                 Available 24 hours       

 

Pick up a gas receipt from Blue Springs, Missouri                     

 

Blue Springs, Missouri is located in west Missouri approximately 20 miles east of Kansas City, Missouri on I-70 at exit 20.  The receipt from the Phillips 66 station just north of I-70 at 1202 NW MO-7 will be acceptable proof you were in Blue Springs or you may try another station but it must have Blue Springs on the receipt.

 

Time: _____________ Odometer: _____________     Code: BS                     Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Winfield, Missouri area                                                312 points                                Available daylight hours

Winfield Ferry

 

Take a picture of your motorcycle on the Winfield Ferry while the ferry is underway (so you are not getting on and off the ferry while it is in port).

 

The Winfield ferry, connecting Missouri and Illinois, is located northwest of St. Louis and to the north of O'Fallon, Missouri just north of where the Mississippi River takes a sharp turn back north toward Illinois. From just east of O'Fallon, Missouri, go north on MO-79 to Winfield, Missouri. Take SR-N east and turn right on Sandy Slough Rd.  Turn left on CR-965 and then left again on Eagles Landing Road.

 

The ferry operates daily 5 a.m. to 9 p.m.  If the ferry is closed, you may document that and receive the points (and we hope you are on the right side of the river if that happens!)

 

Time: _____________ Odometer: _____________                 Code: WI                     Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Wichita Falls, Texas                                                      25 points                                 Available 24 hours       

 

Pick up a gas receipt from Wichita Falls, Texas                        

 

Wichita Falls, Texas is located in northern Texas near the intersection of I-44/US-287/US-281.

 

Time: _____________ Odometer: _____________     Code: WT                    Approved: ______________

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Peter Hoogeveen Bonus                                               2,273 points                            Available 24 hours

 

Bring in a COLD six pack of your favorite beverage (ask Peter Hoogeveen why you are bringing a six pack to the finish!).  Warning: the beverages must arrive cold!

 

Points are based on Peter’s finishing position in his first four IBRs:  2 – 2 – 7 -3

 

Time: _____________ Odometer: _____________ Code: PH                        Approved: ______________

 

* * * * * * END BONUS INFORMATION  * * * * * *


Score Sheet

 

Rider Number: _______  Name: _____________________________________

 

Time In: ___________  AM or PM     Odometer Reading at Checkpoint: ____________

 

Did you collect and enclose all your gas receipts? _______

WARNING: If your motorcycle has a capacity of 7 or more U.S. Gallons of gas, you must also submit a completed fuel log to earn this bonus!

 

Points for this check point:                                       6,000

 

Gas Bonus  1,000 points                       _________

 

Subtotal of Bonuses earned this leg:                   _________

 

Less time penalty: (20 points/minute)     (_________)

 

 

Total Score:                                                      _________

 

I accept this score:   __________________________________

 

I protest this score: __________________________________

(Use the back side of this form to explain your protest)

 

 Are you claiming points for any bonus for which you were unable to follow the directions on the bonus listings?

 

Circle YES or NO and sign here: ___________________________________ 

Please use back of this sheet to describe what happened in detail.

 

Example Number 1: The bonus listing told you to go to the Madawaska Post Office and get an answer from a photo album.  But when you got there, the album was missing, so you asked the postmaster to put a postmark on your bonus sheet and wrote a note that the photo album is no longer at the post office...

 

Example Number 2: The bonus listing states that the coal mine train in Ashland is open from 9 a.m. to 9 p.m., but you arrived at 9:15 p.m. and managed to convince them to remain open and take you in the mine for your picture.  You must disclose this fact now, or risk immediate disqualification from the rally.

 

WARNING: All scores are subject to audit by the Scoring Committee. Consider the score on this sheet to be advisory only!

 

 


 Rider Number: _______ Name: _________________________________

 

Gas and other misc. receipts: Maine to Denver

 

#

Date

Town or City

State

Time

Odometer

Gallons

        1             

 

 

 

 

 

 

 

        2             

 

 

 

 

 

 

 

        3             

 

 

 

 

 

 

 

        4             

 

 

 

 

 

 

 

        5             

 

 

 

 

 

 

 

        6             

 

 

 

 

 

 

 

        7             

 

 

 

 

 

 

 

        8             

 

 

 

 

 

 

 

        9             

 

 

 

 

 

 

 

    10             

 

 

 

 

 

 

 

    11             

 

 

 

 

 

 

 

    12             

 

 

 

 

 

 

 

    13             

 

 

 

 

 

 

 

    14             

 

 

 

 

 

 

 

    15             

 

 

 

 

 

 

 

    16             

 

 

 

 

 

 

 

    17             

 

 

 

 

 

 

 

    18             

 

 

 

 

 

 

 

    19             

 

 

 

 

 

 

 

    20             

 

 

 

 

 

 

 

USE THE BACK OF THIS SHEET IF YOU NEED TO MAKE ADDITIONAL ENTRIES