Registration Form
Make checks payable to Kool Coastal Cruisers and mail to: PO Box 333, Reedsport, OR 97467
Name____________________________ Address____________________________________________
City_____________________ State__________ Zip____________ Phone
(___)_________________
Email Address: ________________________________
Car Information: Make____________________ Model_______________________ Year___________
Color________________ Class (see HERE)
__________
Club Affiliation:____________________________________________
Events & Fees: Car Show, Harbor Cruise, Poker Walk $20.00
Muffler Rapping Contest
Open Header Contest
$10.00
Burn-Out Contest
Sweatshirts $22 each Sm____ M____ L____ XL____ $24 each XXL____ $26 each XXXL____
Hooded Sweat $28 each Sm____ M____ L____ XL____ $30 each XXL____
Adult T-Shirts $12 each Sm____ M____ L____ XL____ $14 each XXL____ $16 each XXXL____
Youth T-Shirts $10 each Sm(6-8)____ M(10-12)____ L(14-16)____
Burnout T's $12 each Sm____ M____ L____ XL____ $14 each XXL____ $16 each XXXL____
TOTAL AMOUNT ENCLOSED: $__________
X____________________________________ (signature) hereby releases Kool Coastal Cruisers from any liability during the Kool Coastal Nights
2003 event and activities.
Please be sure to read the RULES before sending in your application.