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
