Chicagoland MG Club:Members

Rally in the Valley 2004 Registration Form
Registration Fee - $25.00
Reg. Fee covers: Trophies, Banquet Room, Door Prizes, Car Show and Rally.

Registration forms must be postmarked no later than June 23 2004.

(Rally in the Valley Activities, check the boxes you plan to attend.)
Friday Night, July 23rd _____ Friday Night Cruise around the Lake. (Included in Reg. Fee) _____ Sea Food Buffet - $10.95 @ Paradise Shores (Pay your server)
Saturday Morning, July 24th
_____ Breakfast - 7:00am to 8:30am - $5.00 at Paradise Shores (Pay your server)
Al Capone’s Hide Out Tour & Bootleg Rally:
_____ Tour - $11.00 per person - Qty _____		$_______
(Lunch Menu Choices) Cost includes beverage, tax and tip.
“The Enforcer” (Hamburger) $12.50 - Qty_____ “Prime Sandwich” (Prime Rib Sand.) $13.00 - Qty_____ “Chicken Fillet” (Grilled Chicken Brest Sand.) $11.75 - Qty_____		$_______
Al Capone’s Total:		$_______
Saturday Afternoon, July 24th
_____ Show n’ Shine Car Show. (Included in Reg. Fee) Car Entered___________________________ Year_______ _____ Funkhana. (Included in Reg. Fee) Water Balloon Toss, Brake Discus Throw & Wheel Cylinder Shot-put.
Saturday Night, July 24th
_____ Banquet - $15.00 per person - Qty_______	Banquet Total:	$_______

	Rally in the Valley (T- Shirt) or (Sleeveless T-Shirt):
	T-Shirt (Circle size ) Men's Size: S M L XL XXL $12.00 ea / (2X) $14.00 ea Women's Size: S M L XL XXL $10.00 ea / (2X) $12.00 ea	Sleeveless T-Shirt (Circle size ) Men's Size: S M L XL XXL $10.00 ea / (2X ) $12.00 ea Women's Size: S M L XL -- $10.00 ea / (No 2X Available)	Shirt Total:	$_______
Registration Fee:			Reg.	$ 25.00
EVENT TOTAL				$_______

Name ________________________________________________________
Address ______________________________________________________
City/State/Zip _________________________________________________
Phone, Best time to call? _(______)_______________________________
Email, _______________________________________________________

Make check payable to: Diane Rindt . . . . Send to: 4271 N.Shore Drive, Eau Claire WI 54703