Canyonlands Motor Classic
Registration Form

Fill out form and enclose check
or money order made out to:

Canyonlands Motor Classic
PO Box 698
Sandia Park, NM 87047

Do not mail registration forms after May 13, 2001. There will
be registration and packet pickup at the event on Thursday May 30
at the reception and at Arrowhead Motorsports on Friday May 31.
Please print in CAPITAL LETTERS

NAME:
ADDRESS:


CITY:
STATE:_____________________________ ZIP:______________

COUNTRY:____________________________________________

PHONE:_______________________________________________

E-MAIL:_______________________________________________

Pre-Registration FEES: Adults $40.00 _______________________       
($50 at the door)

Children $20.00 ____________________        Rally Tee-Shirt - $16 - (state size)
(under 12)
Total Amt ____________________
Paid by:    [   ]Cash   [   ]Check   [   ]Money Order   [   ]PayPal
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