| Show Intro Accommodations Schedule Mail-In Registration |
4th Annual VWs Over Memphis
MAIL-IN
PRE-REGISTRATION
| Name: | _________________________________ | |||
| Address: | _________________________________ | |||
| City: | _________________________________ | |||
| State: | ______ Zip _____ | |||
| Your Email ID: | _________________________________ | |||
| Home Phone #: | (_____) ____ - __________ | |||
| VW Club Affiliation | _________________________________ | |||
| Distance you will be traveling to show. | ______ Miles | |||
| VW Vendor: | __$15.00 | |||
| VW Show Vehicle | __$15.00 for first VW. $10 for each additional VW. | |||
| - List the
VWs you are registering to show - If more fields are needed, please "pencil in" as needed. |
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| Year: | _____ Model: ____________ ($15) | |||
| __Stock or | Modified __ Color ____________ | |||
| Year: | _____ Model: ____________ ($10) | |||
| __Stock or | Modified __ Color ____________ | |||
| Year: | _____ Model: ____________ ($10) | |||
| __Stock or | Modified __ Color ____________ | |||
| Total amount enclosed: | $_________ | |||
|
Make checks payable to: |
Bill Conkel - Mid-South VW Club | |||
|
Mail to: Postmarked NLT 10/9/02 |
Bill Conkel (VoM4) 5676 Antwerp Ave., W. Bartlett, TN 38135 |
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