Miata Club
Miata Club
SAMOA
SCRABBLE SCRAMBLE
SATURDAY, SEPTEMBER 19, 2009
Driver:______________________________ Passenger:_____________________________
Street:______________________________ City:____________________________
State:________ Zip:_____________ Phone:__________________________
E-Mail Address:__________________________________________________________
Car Color: ____________________ Year:_________ Name: __________________
REGISTRATION FEE IS $30 PER PERSON (cost is $60 for driver and passenger)
Note: The registration fee includes participation in the car show, Scrabble Scramble tour, lunch and awards dinner. Registration fee is $35 per person after August 14, 2009.
Event Driver Registration includes one Lunch and Dinner $30 ea $__________
Event Passenger Registration includes one Lunch and Dinner $30 ea $___________
Polo Shirts (with Scrabble Scramble logo and racing check collar) are available in the following men sizes:
Driver (select size) S ____M ___ L ___ XL ___ XXL ___ $20 ea = $ ___________
Passenger (select size) S ____M ___ L ___ XL ___ XXL ___ $20 ea = $ ___________
Total Registrations and Shirts (check payable to SAMOA) $___________
Cancellations received prior to August 1, 2009: Full Refund
No Refunds after September 1, 2009. Will send shirt(s) only.
Send Registration Form with Check (payable to SAMOA) to:
SAMOA
Scrabble Scramble
c/o Denise Correia
P.O. Box 2283
Folsom, CA 95763
RECOMMENDED HOTEL:
Link to registration:
