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Your information - Print clearly or submit in typed/computer out put form.

Name____________________________________________________

Address__________________________________________________

            __________________________________________________

Phone #_______________________Other______________________

E-mail___________________________________________________

Number of Vehicles Attending___persons Attending____

Please send this form and accompanying information to

 

Match Race Madness

P.O. Box 15362

Santa Ana, Ca, 92735

714-547-6004 PST              mail@allhemireunion.com