Please Print and Complete this Form and Mail with your Check ($12.00).

 

Return Pre-Registration Form By July 31, 2018

Name_____________________________________________________________________

Address_______________________________________City_________________________

State__________________Zip_______________Phone_____________________________

Year______________Make______________________Model________________________

Club______________________________________________________________________

E-Mail____________________________________________________________________

 

Make Check Payable:  Millsboro Cruizers

Mail To:  22853 Dogwood Drive

                Lewes, DE  19958