To pre-register your vehicle, and save $5.00 for the West Seattle Junction Association Car Show
please fill out the form below, and include a $15.00 check or money order for each car to be pre-registered.

Name:

Address:

City: State: Zip:

Phone: (Day) (Evening)

E-mail address:

Year: Make: Model:

How did you hear about us?

T-shirt size: Small Medium Large X-Large XX-Large XXX-Large

Any remaining slots will be filled on “first come – first served” basis. I/We agree to indemnify and hold harmless the members of Maple Valley Street Rats Car Club, sponsors, participants and committees from any damage and/or injury to property or persons while participating as a part of Maple Valley Street Rats car show, September 21, 2008.

Sign Here (Date)

**Please make checks payable to: Maple Valley Street Rats &

Mail to:

Maple Valley Street Rats

Attn: June Farran

PO Box 155

Maple Valley WA 98038