DRIVER REGISTRATION FORM

JHRA JAX HOT ROD AUTORAMA SAT. OCT 7TH 2017. *Rain date Oct 14th*

CLASS____________________________________________________________________

MAKE/MODEL_______________________________________________________________

YEAR____________________________ ENGINE_________________________________

OUTSTANDING FEATURES___________________________________________________

__________________________________________________________________________

OWNER___________________________________________________________________

TSHIRT SIZE_____________

***PLEASE EMAIL ME THIS INFORMATION BACK TO ME AT : joeborsodi@yahoo.com

SEND REGISTRATION FEE OF 30.00 FOR ENTRY INTO SHOW AND CUSTOM T-SHIRT USE THE ADDRESS BELOW. CHECK OR MONEY ORDER IS ACCEPTED. ***Make Payable to Jax Hot Rod Autorama***

MOTORCYCLE REGISTRATION FEE 25.00 AND INLCLUDES T-SHIRT.

Joe Borsodi (JHRA)

2644 Alton Ct.

Middleburg FL, 32068