Instructions:
Please print this page and fill out the information below.  Send it with a cheque or money order to:    
                        Vorsicht Motorsport Canada
                        214B 11831-80th Avenue
                        Delta, BC, Canada
                        V4C 7X6


Name:__________________________________________

Address:______________________________________

_____________________________________________

_____________________________________________ Phone #_________________

My Car:

Make:  _____  Audi    _____  Volkswagen

Year: ___________ Model: ____________________________________

Car Modifications (If Any):

________________________________________________________________________

________________________________________________________________________

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- Car Show*  $10.00  per car  x ______= $ _________

- Show Shirt**  $10.00  per shirt  x ______= $ _________

- Cars for Sale  $5.00  per car  x ______= $ _________

- Swap Meet $20.00 per spot x _______ = $ __________

* First 100 entries will receive a dash plaque

** Please indicate sizes needed L_____ XL_____ XXL______
    (T-shirts at the show site will be $15 each.)

Pre-registration fee is $10.00 Canadian, it must be postmarked July 25th.  After this date registration fee is $15.00 Canadian.
***If you are paying with an American money order please make sure it can be cashed in Canada.

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FOR OFFICE USE ONLY

____ Stock      _____ Mod 1      _____ Mod 2  

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Registration Form