GRAND ISLAND SESQUICENTENNIAL AUTO EVENT ENTRY FORM
NOTE: ONLY INFORMATION WITH * IS REQUIRED, OTHER INFORMATION IS ENCOURAGED BUT OPTIONAL

*NAME__________________________________________

*ADDRESS_______________________________________

*CITY_________________________________*STATE________*ZIP________

PHONE (      )______________________E-MAIL __________________________

VEHICLE INFORMATION:

*MAKE________________*MODEL_________________*YEAR________

OF SPECIAL INTEREST?  TELL US ABOUT YOUR CAR:

_____________________________________________________________________

_____________________________________________________________________

ENTRY: PLEASE CHECK APPROPRIATE BOXES

ALL EURO CAR SHOW $10.00 ADVANCE ($15.00 @ GATE)
S.C.C.A. SOLO 2 $17.00 MEMBER $23.00 NONMEMBER
G.I.G.P. 2 FREE TO QUALIFIED PARTICIPANTS

FESTIVITIES AT HOLIDAY INN - BANQUET WITH BROCK YATES

FRIDAY MIXER
SATURDAY BANQUET
BOTH (SAVE $5.00)
$15.00
$30.00       CIRCLE ONE:      CHICKEN    BEEF    FISH
$40.00

PLEASE SEND THIS INFORMATION ALONG WITH A CHECK OR MONEY ORDER TO:

G.I.G.P. RACE HEADQUARTERS
1952 HARVEY ROAD
GRAND ISLAND, NY  14072

FOR MORE INFO ON THIS AND OTHER "SESQUI" EVENTS VISIT  www.isledegrande.com/2002