Desert Dash Rally Registration Form
August 15, 16, 17 2008
www.hcdesertdashrally.com
Complete the registration form and return to the address below
Registration is $35 per person
Submit mailed registrations to: Desert Dash Rally P.O. Box 907 Hines, Oregon 97738
Phone: (541) 729-4233
Registration to the Desert Dash Rally includes:
Name:_______________________________________________________________________________________
Email:_______________________________________________________________________________________
Address:_______________________________________________________________________________________
City:___________________________________________ State:___________________ Zip:___________________
Phone (____)_______________
T-Shirt size: circle one S----- M----- L----- XL----- XXL----- XXXL #____________________
Name:_______________________________________________________________________________________
Email:_______________________________________________________________________________________
Address:_______________________________________________________________________________________
City:___________________________________________ State:___________________ Zip:___________________
Phone (____)_______________
T-Shirt size: circle one S----- M----- L----- XL----- XXL----- XXXL #_____________________
Vehicle Information
| Make: | Year: | State: |
| Model: | Color: | License: |