|
| Primary Entrant Info |
| Name |
|
| Address |
|
| City |
|
| State |
|
| Phone |
|
| E-mail |
|
| Car Model |
|
| Color |
|
| Shirt Size |
|
| Secondary Entrant Info |
| Name |
|
| Address |
|
| City |
|
| State |
|
| Phone |
|
| E-mail |
|
| Car Model |
|
| Color |
|
| Shirt Size |
|
| Child Info |
| Name |
|
| Address |
|
| City |
|
| State |
|
| Phone |
|
| E-mail |
|
| Car Model |
|
| Color |
|
| Shirt Size |
|
| |
# |
Total |
| Event Fee, per person, includes: |
$50.00 |
|
|
| |
Dinner on Saturday |
| Breakfast on Sunday |
| Lunch on Sunday |
| MUSR 7 T-shirt |
| Entry in Car Show, AX, Rally, and Tech Quiz |
| |
| Send Form & Check to: |
| |
Charlie Davis |
| PO Box 213 |
| Weatherford, TX 76086 |
| Make check for $50/person payable to Charlie Davis… |
| |
| NOTES: |
Print out and fill in all shaded fields, as applicable. |