DIEHARD Cruisers of Brooklyn, NY - Car Show Registration

& L O O S E L U G N U T Z

ANNUAL CAR SHOW -- SUNDAY, JUNE 14^th, 2009
(r a i n d a t e JUNE 2 8)
St Columba's Church, 2245 Kimball St.

Web Site Registration Form

To pre-register,
PRINT this page, fill out, enclose a check or money order, and mail it to:
DIEHARD CRUISERS
P.O. Box 413
Brooklyn, NY 11234

$15.00 - Pre-Registration Fee, $20.00 - Day of Show
(Last day to pre-register - 10 days prior to show)

TROPHIES
Peer Choice Judging
People's Choice
Special Trophies in The Memory of
Tony Stumbo of the Diehard Cruisers and
Joe Piccione of the Loose Lug Nutz

ENCLOSED CHECK: $

NAME: PHONE:

ADDRESS:

CITY: STATE: ZIP:

VEHICLE INFO:

YEAR & MAKE: MODEL:

In accepting this entry, I the undersigned will abide by all the rules involved with this event. I will not hold Diehard Cruisers or Loose Lug Nuts responsible for any personal or property damage.

Sign:X

This is a judged event. Don't drink and drive. JUST SAY NO TO DRUGS!

ENCLOSED CHECK: $
NAME:	PHONE:
ADDRESS:
CITY:	STATE:	ZIP:
VEHICLE INFO:
YEAR & MAKE:	MODEL: