ENTRY FORM
GRAFFITI SUNDAY ENTRY FORM
Please Print/Complete/Enclose Check or Money Order & Mail To
Savannah Area Chamber of Commerce
PO Box 101
Savannah, MO 64485
Pre-enter on or before August 22, 2011
(Entry Form & Payment Must Be Received At The Savannah Area Chamber of Commerce Office
No Later Than 4:00 PM CDT August 22, 2011 To Qualify As Pre-Registered)
Pre-enter $15.00 (First 50 Receive T-Shirt & Dash Plaque)
Enter Day Of Show $15.00 (First 150 Receive Dash Plaque)
Name: ___________________________________________
Address: _________________________________________
City: ________________ State: __________ Zip: _________
Phone: ______________ Email: _______________________
Car Year : ____________________ Make: ______________
Model: _______________ Class: ______________________
Signature: ________________________________________
(If under 18 years of age parent or legal guardian must sign)
Pre-entries Only (Entries Received On or Before Aug. 22, 2011
T- Shirt Size __________ S/M/L/XL
(Add $1 per extra size shirt - 1X andd $1, 2X add $2)
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Please include a short description of your car and its ownership.
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THE SAVANNAH AREA CHAMBER IS NOT RESPONSIBLE FOR ANY DAMAGES OR THEFTS