M⁹U¹S⁴R 3 Registration Form

Name
Street
City
State
ZIP
Phone
E-mail
Additional Names

Car:

Color

Year

#Cyl

Disp.

N

Y

Y

Are you a 914 SIG Member?			I Need Info...
Are you a PCA Member?			I Need Info...

 

Entry Fee Includes:	Enter	Attend	Fee
Car Show
Swap Meet
Saturday Tech Session
Rally
Tech Quiz
Sunday Tech Session
T-shirt (put size(s) for ALL entrants in box...S, M, L, XL, XXL)
Note: $2 extra for XL and $3 extra for XXL			$
Door Prizes!
Number of People		@$23=	$
Entry Fee Does Not Include:
Charity Autocross ($25 at event)
Click here for a complete event schedule...
Meals (includes tax and tip)		Attend	Fee
Ponder Tour on Thursday Night (not included)			N/A
Friday Night (Rally) Dinner			$29
Saturday Night Awards Banquet			$32
Sunday Lunch (not included)			N/A
Number of People		@$29=	$
Number of People		@$32=	$
		Total	$
Click here for menu information...

#

N

Y

Size(s)

Do you want additional Event T-shirts?
Do you want Optional T-shirts?
Do you want Optional Polo Shirts?
Click here to get complete info about shirts...
Do you want 914 SIG caps?
Do you want MUSR 3 caps?
Click here to get complete info about caps...

 

Print out this form and mail the completed form(s) with a check to:

Diane Johnson, 7905 Steppington, Plano, TX 75025

Make checks payable to: Diane Johnson

If you have questions or problems, call: 972.398.9146 or 940.682.4719

or send e-mail to: chuxter@airmail.net

Make room reservations with the Marriott Solana separately at:

817.430.3848 or 800.228.9290

To get the $64 rate, tell them you are with the:

Porsche Club of America, 914 Special Interest Group