Name _______________________________________________________
Address __________________ Town __________ State _____ Zip ________
Phone _______________________ E-mail ____________________
Vehicle ________________________________ Year ________ Class _______
Vehicle ________________________________ Year ________ Class _______
Vehicle ________________________________ Year ________ Class _______
Amount Enclosed ($3 per vehicle) ____________
make check payable to Tioga Region AACA
Mail to:
Tioga Region AACA - Car Show 2012
P.O. Box 607
Owego, New York 13827
Show Chairpersons:
Howard 607-754-7400
or
Robert Klingensmith (607) 785-8867
print & mail