Print, fill out by hand and mail with a check or M/O of $15CDN per entry to
Saltspring Antique and Classic car Club - Registration 2011
C/O 111 Graham Dr.
Saltspring Island B.C. V8K 1J5
Please mail before June 20th 2011.
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Saltspring Antique and Classic car Club
Registration
Canada Day Show and Shine 2011
Name____________________________________________
Address___________________________________________
City_____________________________ Prov/State _______ Postal Code _____________
Phone number (___) ____ _______ email ____________________
Make of Car ____________________ Model ________ Year_________
Custom____ Stock______
Make of Car ____________________ Model ________ Year_________
Custom____ Stock______
Entry fee enclosed $15_____ or $_______Cdn Check___ M/O
Signature _________________________________ for office use # _____
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