Hub Cap Registration form

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LAKE GENEVA

CLASSIC CAR RALLY

2007

(Print form and mail to address below)

HUBCAP - RUNNINGBOARD DANCE
REGISTRATION FORM

In the Legendary Riviera Ballroom -8:30 p.m. -11:30 p.m.
Downtown Lake Geneva at the lake.

"A Swing Down Memory Lane"

Featuring

*Jack Farina's Big Band*
Celebrating 30 years of the Classic Car Rally

Advance contributions are reservations (NO TICKETS) and capacity is limited.
Reserved seating with 10 or more and prompt reservations are recommended.

Name	$12 per person donation - $15 after Aug. 1, $20 at the door.
Street or P.O. Box	I would like ______ reservations at $______ea.
City, State & Zip	Total enclosed $___________
Phone #	Email address___________________________________

Print form, complete, and send along with your check or money order to:
American Cancer Society - c/o Corinne Kreissl Memorial Foundation Inc.
P.O. Box 732, Lake Geneva, WI 53147.
Your Check is your receipt. Photocopies of this form are acceptable.

For additional information call: (262) 248-2764

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