logo_small.jpg (5760 bytes) header.gif (16176 bytes)
Weinberg Carshow & Movie
Pre-Registration
logo_small.jpg (5760 bytes) Weinberg Carshow & Movie
Pre-Registration
Name: ______________________________________
Address: ___________________________________________________

___________________________________________________

___________________________________________________

Phone: _______________________
E-Mail: ___________________________________________________
Car
Make: _______________________
Model: _________________________________
Year: ______________
To pre-register for this event, please fill out the above information and mail the information plus a check made out to Golden Gears Car Club to:

Golden Gears Car Club
P.O. Box 114
Thurmont Md. 21788

Webmaster: Robert@rsfowlefamily.com