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Name________________________________ Address______________________________ City_________________________________ State________________________________ Zip Code____________________________ Phone #____________________________ |
Pre-Registration for 2009 Show |
Year & Make of Car_____________________________ Club Affiliations_______________________________ Comments____________________________________ ______________________________________________ ______________________________________________ Shirt size- S M L XL 2X 3X (circle one) |
Please print & Mail along with a $15 check payable to "Igniters Street Rods" to: |
Igniters Street Rods 81 Lakeview Drive Chillicothe, Ohio 45601 |
E-Mail Address _______________________ |