TROLL?S SPRING OPENER
April 1st ? 2rd, 2005
Registration Form
Deadline for Registration is March 1, 2005
Driver & Vehicle Information
Name: __________________________________________________ ______
Address: __________________________________________________ ____
City: ______________________ State: _________ Zip: ______________
Phone: _________________ E-mail: _______________________________
Vehicle: ___________ Model: ________________ Tire Size: _________
Fee Schedule
Driver & 1 Passenger 16 & over Registration $40.00
____ Passengers 16 & over @ $5 each
____ Passengers under 16 @ no charge FREE
Full GLFWDA Membership @ $35 (if not already a member) $35
T-shirts ____ X-Large
$15.00 each ____Medium ____ XX ? Large
Enter quantity for each ____Large
Sweatshirts ____X-Large
$25.00 each ____Medium ____XX-Large
Enter quantity for each ____Large
TOTAL REMITTANCE $
Please make checks payable to Victor Brasseur, and mail to:
Victor Brasseur
7200 Bunker Road
Indian River MI 49749 Total # of people attending (including driver) ___
(231) 238-0964
brasseur@localnet.com Please note that all fees are nonrefundable.
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