Pennsylvania Rally Registration
July 21, 2001
There is no Registration Fee.
This Rally is Free!!!!!!
You will receive a separate email containing other Rally Information.
You can either, register electronically, fill in the form and email
back, or print it, fill-in, and snail mail back to the address below.
Kevin Valentine
67 Hunter Street
Tamaqua, PA 18252
Please register ASAP.
To register via EMAIL, click reply, then type your info in the
corresponding places. Please do not use this form or email for
additional information or questions. Send a separate email with RALLY
QUESTION in the subject line, or call me at the numbers listed below.
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Driver's Name:
Email Address:
Phone Number:
Mailing Address:
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Make of Car:
Model of Car:
Year of Car:
Color of Car:
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Navigator's Name:
(This Rally requires a driver and a navigator for each car).
[ ]- If you need a Navigator, Please check here.
[ ]- If you are willing to be a navigator, Please check here.
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Please mark the events you wish to attend.
Saturday July 21, 2001
[ ]- Pre-Rally Brunch at Leiby's Restaurant.
Starting at 11:00am Saturday
[ ]- British Car Rally.
Starting at 1:00pm Saturday
[ ]- Pool & Pizza party at Kevin's House, following the Rally.
Saturday 7:00pm
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[ ]- Sunday breakfast July 22, 2001
[ ]- Country Drive to Knobel's Grove Amusement Park on Sunday.
(Immediately after breakfast)
Kevin Valentine
67 Hunter Street
Tamaqua, PA 18252
You may contact me by phone at;
570 668-1542 (6:00pm - 1:00am) (That's not a misprint!)
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