Full Name: ___________________________
City: _________________   State: ___________________
E-Mail Address: _________________________________
Phone Number: __________________________________
Year You Joined ACE: ____________
# of Roller Coasters that you have ridden: ____________
Please Include the Park Names Also For Coasters/Rides Below:
Your Favorite Woodie: ___________________________
Your Favorite Steel: _____________________________
Your First Ever Rollercoaster: ____________________________
Your Favorite Non-Coaster Ride: __________________________
Your Favorite Park: ______________________________________
Why is this your Favorite Park?
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
What is your best coaster memory or experience?
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

Send us your photo, or e-mail one to bobwells@maine.rr.com, and mention
that the photo is for you Member Profile Submission.  By sending us your photo
and profile information you give ACE NewEngland permission to publish your photo
and data on the www.acenewengland.org web site.  Do you agree?

CIRCLE ONE:       YES                       NO

Sign This Document: _________________________________   Date: ________________

Profiles will be randomly selected and posted each month.  Only one profile should be
submitted per person.  When you are selected we will contact you to give you the chance
to update data before publishing.