The
cost of the event is $15.00. This fee
covers administrative costs and the cost of the wine and cheese reception at
the end. If rally badges are
ordered, they will be ordered after the event.
The number of participants will be the determining factor determining
whether or not to order badges.
Please
make your check payable to PCA Potomac and mail it along with this
application to:
Larry
Gunter
8
Lawrence Lane
Fredericksburg,
VA 22405-2968
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Address |
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Phone (Home) |
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Phone (Work) |
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Fax |
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Navigator |
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Name |
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Address |
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Phone (Home) |
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Phone (Work) |
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Fax |
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Vehicle |
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Porsche Year
and Model |
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Color |
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License Plate
(Number and State) |
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Name of
Insurance Company |
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Does the trip
switch work on your Porsche? (Y/N) |
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Does the
odometer work on your Porsche? (Y/N) |
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Have you ever
participated in a rally in the past? (Y/N) |
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What is your cell phone number (if applicable)? |
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