Registration

 

SPEEDSTER RALLY XV 

JUNE 20—JUNE 23 2018   Byron Center , MI. 49315

Please use a separate registration form for each car

 

DRIVER NAME(s) to appear on name tag (s) :———————————————————————

PASSENGER NAME (s) to appear on name tag (s):————————————————————–

STREET ADDRESS ————————————————————————————————————-

CITY————————————————————–STATE———————–ZIP——————————

Email ADDRESS:—————————————————————————————————————

PHONE——————————————————CELL—————————————————————

EMERGENCY CONTACT NAME—————————————————–PHONE————————

Make/Model/Year of speedster—————————————–

Trailer License Plate # ——————-Insurance Policy number/Date————————————

Item(s) I will bring for the Raffle—————————————————————————————

Final Banquet Choices Entries:   One choice per Person!!!!  Driver and Passenger

8oz. Sirloin Steak——————————————–

Chicken Parmesan (GF)————————————

1/2 Rack BBQ Ribs——————————————–

T- Shirt sizes and cost (optional). Each shirt is $10.00 Please mark desired size:

T_Shirts       ———————- Small               ————————-XL

———————-Medium            ————————-2XL

———————–Large                ————————-3XL

Return completed form with registration fee made payable to Donna Williams

 

Mail to:                     Registration for SPEEDSTER RALLY XV closes May 12 2018

Donna Williams                                                  Car and Driver  90.00———–=$—————

94597 Gebhard Drive                                      Passenger (EACH) 90.00————=$————-

 Lawton Ml. 49065         T-Shirts (optional)$10.00 please mark choice above=$————

Sail the mighty Blue —     on a  1810 replica Tall Ship (optional 1 1/2 hr cruise)

15.00 (each person )=$————-

Final Banquet (optional)   per person 10.00 (each person)  =$————–

Check Number———————–                                            Total $———————

Included in Tour : admission to Gilmore Auto Museum and Lunch at Gilmore

Thursday night Dinner

Friday Night Dinner

Boulder  Ridge Wild Animal Park

on site parking for all cars and trailer

Admission to the Michigan Maritime Museum

And a trip  to Alaska   come for the FUN of it

Come early for a get acquainted tour…Wednesday  and early check in                                                                Visit the Tanger Outlet …. or the Gun Lake Casino

Refunds for changes/ cancellations will be sent to registered drivers on funds available basis after final accounting.

for more info contact John or Donna Williams  !-269-910-9249

speedsterrally@gmail.com