Pre-Registration - Cruisin South Florida

REGISTRATION:
2017 SPRING CITY OF COCONUT CREEK/MONARCH KNIGHTS BASEBALL CAR SHOW
$15 Pre-Registration (must be received by April 2nd)
APRIL 8TH, 2017
10AM TO 2PM
COCONUT CREEK/SEMINOLE CASINO
5550 NW 40TH STREET
PAYPAL: [email protected] (include name and vehicle info with $15 payment)
Owner/Participant Name______________________________________________________
Address______________________________________City___________________________
Zip_________________Phone__________________________________________________
Email______________________________________________________________________
YEAR____________MAKE____________________MODEL___________________________
CAR CLUB__________________________________________________________________
MAIL to: 4001 Winston Park Blvd, Coconut Creek, FL 33073
Make Checks payable to: Monarch Booster Baseball Club
CREDIT CARD AUTHORIZATION
CARD #____________________________ EXP________
NAME_________________ CVV Code ________AMOUNT _______
SIGNATURE___________________