PACKWOOD SUMMER ROD RUN

home button   contact

Pre- Registration of $20.00 in due by July 25, 2018

1 Day  Attendee's are welcome $15.00 pre-registered or at the gate

After July 25 or at the event registration is $30.00 for the 2 day show

SORRY NO REFUNDS AFTER JULY 26

MAIL TO:

Packwood Summer Rod Run  P. O. Box 228, Packwood, Wa. 98361

REGISTRATION FORM:

{   } 1 Day -$15.00     {    } 2 Day - $20.00 Pre-registration    {   } Ladies Ride - owner/operator            

  Amount Enclosed $ ____________________

Name _______________________________________     Address ____________________________________

City ___________________  State __________________ Zip __________________

Phone Number ____________________    E-mail ___________________________

VEHICLE INFO:

Year ___________ Make/Model _______________________________ Color _____________

I _________________ Release East End Cruisers, Patti Peters and the Cowlitz River Lodge from any

LIABILITIES occurring to myself or any person and/or vehicles while attending this event.

SIGNATURE OF ATTENDEE _______________________________________ DATE ____________________