RMJC Concours

Registration FORM

* Required Fields
Name: as you would like it on your badge *
Last name *
Spouses name as you would like it on your badge
Address
City/Town
State
Zip
Home Phone *
Work Phone
Email Address *
JCNA Number *

1st Jaguar/Diamlar YEAR	1st Jaguar/Diamlar MODEL	1st Jaguar/Diamlar BODY STYLE	1st Jaguar/Diamlar CLASS
2nd Jaguar/Diamlar YEAR	2nd Jaguar/Diamlar MODEL	2nd Jaguar/Diamlar BODY STYLE	2nd Jaguar/Diamlar CLASS
3rd Jaguar/Diamlar YEAR	3rd Jaguar/Diamlar MODEL	3rd Jaguar/Diamlar BODY STYLE	3rd Jaguar/Diamlar CLASS

Registration Cost

First Jaguar Entry $50.00

Addt'l Jaguar Entry $35.00

Display Class Entry $25.00

Late REGISTRATION Fee $10.00

Entertainment Cost
(Price per person)

Friday Night Pub Reception $10.00 PP
Saturday Night Dinner $25.00 PP
Sunday Awards Brunch $30.00 PP
Event Shirt Select Size
Additional Shirt $20.00
RMJC Poker Night $55.00
RMJC SLOTS $30.00

Additional Comments:

THE ABOVE IS YOUR REGISTRATION FORM
Please SUBMIT Form PRIOR to continuing
A form page will appear,
at the bottom of the form is return to registration
Scrool to the PayPal section (here) and pay on-line

Pay Via Check: instructions below
Pay via PayPal:

Concours

Sunday Brunch

Sent payment to:
RMJC
C/O Gene Cookenboo
6221 Blue Bell Lane
Evergreen, CO 80439