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First
Name:
Last Name:
Address:
City:
State:
Zip:
Phone (include area code first)
Signature of entrant (required for valid entry)
________________________________
Date: _______
Note: By signing above, you are also agreeing to
the Liability Waiver shown below.
Mail completed information and $30 fee to:
Dells Area Cruisers
S3051 E. Fox Hill Road
Baraboo, WI 53913
Pre-registration form must be postmarked by May
1, 2007.
Last modified:
01/22/2007