Mid-US Ramble 2000 – Registration Form

Print and Mail this completed form (1 per person) with check or money order to:

Rich and Diane Johnson
7905 Steppington Drive
Plano, TX 75025
phone (972) 398-9146

Event cost is $45.00 per person. This includes lunch and dinner Saturday, one (1) T-shirt and priceless other stuff.

Name: _______________________________________________

Address: _____________________________________________

              _____________________________________________

Phone Number: ________________________________________

Email Address: ________________________________________

Car Type: ____________________________________________

Car Color: ____________________________________________

Arrival date: __________________________________________

Are you staying at the Shadow RidgeVillas? _________________

Name Tag Info (one extra tag per person if pressed)

and first names: ________________________________________

Registration cost includes one (1) event T-shirt.  Size: ___________

Extra Event T-shirts, Optional T-shirts and Polo Shirts are available.
Do not include payment for these at this time - pay for them at the event.

Number of extra event T-shirts desired (@ $8 each) and size(s):

_____________________________________________________

Number of optional T-shirts desired (@ $10 each), size(s), and color(s):

_____________________________________________________

Number of optional Polo shirts desired (@ $20 each) and size(s):

_____________________________________________________

Please check the activities you will be participating in:

FRIDAY

[ ] Tech Session
[ ] Scenic Drive to Yacht Club
[ ] Dinner at Tannenbaum Yacht Club
SATURDAY
[ ] Swap meet
[ ] Tour 1 with lunch
[ ] Car Show (Top Only) with People's Choice Evaluations
[ ] Tour 2 back to Shadow Ridge
[ ] Parts & Tech. Quiz
[ ] Awards Banquet
SUNDAY
[ ] Optional Arkansas Wine Tour
Distance driven to the event in a 914: ______________________________

Are you a PCA member? ________ Would you like to be? _____________

Are you a PCA 914 SIG member? _____ Would you like to be? _________

Are you a member of the Porsche 914 Club? ______ Would you like to be? ______