Below is the Registration form for the up coming Pacific NW Historics Car Corral.
Club Name: NW Club Cobra
Attention: You Name
Address, Phone, Email: Your Address, phone number and email address
All the Cobras will be in the car corral on Saturday only (July 1).
Attach a check and send the registration form and check to the address on the registration form.
If you have any questions contact Tom Lesh (Alpha02) on
Welcome to Club Cobra...The world's largest non-biased Cobra site! - Club Cobra).
Bruce
PRINT THE BELOW INFORMATION
35th ANNUAL PACIFIC NORTHWEST HISTORICS CAR CORRAL
June 30 - July 2, 2023
CAR CLUB REGISTRATION LIMITED TO 20 CARS PER DAY
DEADLINE: JUNE 10, OR EARLIER IF 250 CAR MAXIMUM IS REACHED PLEASE RETURN ONLY ONE FORM PER CLUB
CLUB NAME:
ATTENTION: ADDRESS:
PHONE: E-MAIL:
CAR CORRAL PASSES (CAR AND DRIVER ONLY)
FRIDAY ONLY: @ $30.00: ______
SATURDAY ONLY: @ $30.00: ______
SUNDAY ONLY: @ $30.00: ______
WEEKEND PASS (3 days, one car / driver): @ $50.00: ______
GENERAL ADMISSION TICKETS (PASSENGERS)
CHILDREN 7-16: day or weekend @ $5.00: ______
1 - DAY or THREE-DAY ADULT ______@ $25.00: ______
CLUB INFORMATION BOOTH SPACE (10’ X 10’ AREA)
ONE DAY (Please Specify Day) $20.00: ______
WEEKEND $35.00: ______
ADDITIONAL DONATION TO CHILDREN’S ______
501c3 Tax Deduction #82-3957522
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TOTAL ENCLOSED: _________
Please make checks payable to PNWH Vintage Racing Charities and mail to:
Bill Hardrath/Debbie Haley CCFC Sponsor
PNWH Car Corral Coordinator Debbie Haley
22656 24th Ave. S
Deborahhaley@msn.com
Des Moines, WA 98198 206-227-9486 (cell)
(206) 420-9996 (Cell) 206-878-2152
bhardrath@msncom
deborahhaley@msn.com