|
|
![]() |
Preregistration Form |
Saturday, July 17, 2004 7:30-9:00 Autocross Registration 9:00-9:30 Course Orientation 9:30-3:00 Autocross Heats 3:00-4:00 Autocross Awards 6:00-???? Picnic |
Sunday, July 18, 2004 8:00-12:00 Show Car Registration 12:30 - 2:00 Voting 12:30 - 4:00 *Door Prizes 4:00 - Trophies Awarded |
Please print this form and mail with check or money order by July 3rd to:
"Fords at the Mall"
c/o Rod Dieffenbacher
315 Klump Road
Cogan Station, PA 17728
Autocross (Saturday) - $15/car
Picnic (Saturday) - $5/person Car Show (Sunday) - $8/car T-shirts: $10/each |
x ____ = _______
x ____ = _______ x _____ = ______ x _____ = ______
Total Enclosed: |
Name:____________________________________ Address:__________________________________ City:_____________________________________ State:_______________ Zip:__________________ Phone:____________________________________ Car Model:___________________ Year:_________ |
For additional information please contact: FATM Show Committee or call: |