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'Run to the Gorge' entry form
All British Field Meet
www.abfm.com
1. Print
2. Complete form
3. Sign and send:
  fax or send by snail mail.

* To qualify for the Early Entry Drawing your entry must be post marked or faxed by June 23, 2006 *


Please contact us with any queries:
Phone: 425 . 644 . 7874
Fax: 425 . 747 . 0205
Email: ataub@worldnet.att.net

Postal address:
Puget Sound British Automotive Society   17610 NE 8th Place   Bellevue WA 98008


Driver’s name 
Navigator’s name 
Vehicle:   make /
  model / color / yr		 
Address 
City & State 
Zip / postal code 
Phone 
Fax 
Club 
Email address 


Please circle one
Yes / No : I will be staying overnight
Yes / No : I have made reservations

Entry  @ $25/car 
Dinners Country Fair Buffet@ $27.50 
BreakfastBreakfast Buffet@ $12.50 
TOTAL   


Payment Method
All payment must be in US Funds.
Please make checks payable to
Puget Sound British Automotive Society (PSBAS) 		Mail printed form to:
Arnie Taub 17610 NE 8th Place Bellevue WA 98008

FAX to: (425) 747-0205


Please circle one:
Check / Visa / Mastercard
Card Number  ExpDate 
Signature
 
There will be no refunds or cancellations within 14 days of the event.