Application for Second Annual PCA Potomac Fall Foliage Rally a Frenzy VI Event
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Application for Second Annual PCA Potomac Fall Foliage Rally – A Frenzy VI Event October 13, 2002 Driver Name Address
Phone (Home) Phone (Work) Fax Email Navigator Name Address
Phone (Home) Phone (Work) Fax Email Vehicle Porsche Year and Model Color License Plate (Number and State) Name of Insurance Company Does the trip switch work on your Porsche? (Y/N) Does the odometer work on your Porsche? (Y/N) Have you ever participated in a rally in the past? (Y/N) What is your cell phone number (if applicable)?
The cost of the event is $15.00. This fee covers administrative costs and the cost of reception at the end.
Please make your check payable to PCA Potomac and mail it along with this application to:
Larry Gunter 8 Lawrence Lane Fredericksburg, VA 22405-2968 [email protected]