Name __________________________ Phone _________________
Address_______________________________________________
_____________________________________________________
E-mail _______________________________________________
Plate Number__________________________________________
Make_______________________ Model_____________________
Year_________________________________________________
Category______________________________________________
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Categories include:
Domestic Modified, Domestic Stock, Tuner / Sport Compact,
Import Stock, Truck / SUV, Off Road, Low Rider, or Collector / Classic,
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The show will begin at 11:00am and judging will start at 12:00pm. The
winners will be announced at approximately 3:30pm. All proceeds go to
Penn State Street Tuners to help keep the club running.
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Please return this form by August 22 2005 and enclose a check
for $7.00 made payable to Tim Lloyd and send it to:
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Tim Lloyd
740 Bryant Street
Stroudsburg, PA 18360
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