2008 Pre-Registration - Hot Summer Nights Car Show - July 26, 2008

To submit your order, fill out this form, then print it.

Mail the form with your check for $15.00 to the following address.

Pre-Registration deadline is Saturday, July 19, 2008. Pre-Registration forms must be received no later than July 19, 2008, in order to qualify for the free t-shirt.

(Make checks payable to: Lafayette Kroozers.)

Kathy Massey

450 W 400 S

Lafayette, IN 47909

Last Name:        First Name:

Address:

City:             State:      Zip:

Email Address:

Telephone:       

Information About Your Vehicle

Year:    

Make (Chevy, etc.):    

Style (Camaro, etc.):

 Free T-Shirt  for Pre-Registration - Select Shirt Size (Check One Box)

     M        L        XL        XXL        XXX 

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