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Pre-Registration is recommended.

Non-refundable after this date:  August 15, 2003

Registration Forms need to be mailed on or before August 15 to make sure they arrive before the show.

Copy/Paste the following to your word processor and print a copy.  Fill it out and mail it to:

Kool Coastal Cruisers
P. O. Box 333
Reedsport, OR 97467

 

Name:________________________________________________

 

Email Address:  ___________________________________________________

 

Address: ______________________________________________________

 

City:  ____________________________________________

 

State: __________________________________________________

 

Zip: ______________________________________________

 

Phone #: ____________________________________________

 

Car Make: _________________________________

 

Car Model:  _______________________________

 

Car Year:  ___________________________________

 

Color:  ___________________________________

 

Class: __________________________________
see list here

Insurance Policy #:  ___________________________________

 

Signature:  ________________________________________________

 

Registration Fee enclosed:

Car Show: ($20 per car) ______________________

Muffler Rapping Contest  ______________________

Open header Contest   _______________________

Burnout Contest  ____________________________

Total Enclosed:   ______________________________

 

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