PRINT THIS OFF AND MAIL IN
Or Click Here for a printable .pdf format of the form
“HANG LOOSE
– LET THE GOOD TIMES ROLL”
CHAPTER
“23”
NAME______________________________________REG#_______________________
STREET________________________________________________________________
CITY_______________________________________STATE______________________
YEAR________________MAKE_____________________MODEL________________
CLASS ______________________ DISTANCE TRAVELED IN MILES___________
CLUB AFFILIATION_____________________________________________________
HOW DID YOU HEAR OF OUR SHOW? __________________________
Pre-Registration fee $10.00
per car by June 7, 2008 ($15.00 day of Show)
Make Check payable to RUSTIC AUTO CLUB
Rustic Auto Club assumes no responsibility for damage to personal property or injuries
during this event.
Mail form, along with check to:
Rustic Auto Club
PO Box 482
Pontiac,
Contact information:
Webpage: www.rusticautocarclub.org
Phone:
Tom Dunham: 815-844-7219
Email: tdunham@mchsi.com
or call Pontiac Bureau of Tourism at:
800-835-2055 or 815-844-5847