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Simply print out this form and mail it to the address listed with proper payment.
PRE-REGISTRATION FORM
(Please print and fill out completely)
NAME
___________________________________
COMPLETE ADDRESS
___________________________________
___________________________________
PHONE #
___________________________________ AGE ______
YEAR, MAKE AND MODEL
___________________________________
CLASS ENTERED
___________________________________
TOTAL MILES DRIVEN TO SHOW
___________________________________
CLUB AFFILIATION
___________________________________
Mail check or money order to:
Bill Dixon
91 Second St.
Keyser, WV 26726
All Weekend - $25 ---- Sunday Only - $10
2007 STRUT YOUR STUFF T-SHIRT & SWEATSHIRT PRE-ORDER:
T-Shirts ($15 ea.) ___S ___M ___L ___XL ___2X ___3X
long sleeve shirts ($20)
___S ___M ___L ___XL ___2X ___3X
Sweatshirts($25 ea.) ___S ___M ___L ___XL ___2X ___3X * ___w/Hood
Beenies ($10)
