Chicago SceneW 08/03 - Porsche Club of America - Chicago Region
Chicago SceneW 08/03 - Porsche Club of America - Chicago Region
Chicago SceneW 08/03 - Porsche Club of America - Chicago Region
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The Official Publication <strong>of</strong> the <strong>Porsche</strong> <strong>Club</strong> <strong>of</strong> <strong>America</strong> - <strong>Chicago</strong> <strong>Region</strong><br />
Octoberfest 20<strong>03</strong><br />
Registration Form<br />
Select the plan that is right for you. CIRCLE your choice<br />
and send this form and your payment to Peggy Gallagher at<br />
the address below.<br />
Saturday Only $170<br />
Includes Pig Roast<br />
Sunday Only $170<br />
Includes Pizza & Beer<br />
2 Day - Saturday<br />
& Sunday $290<br />
Includes Both<br />
Pig Roast &<br />
Pizza & Beer<br />
2nd Driver 50% <strong>of</strong> that days event price<br />
(family member)<br />
2nd Driver 75% <strong>of</strong> that days event price<br />
(Non-family member)<br />
Additional Dinners<br />
Adult Only $30.00<br />
Child 6-13 $15.00<br />
Child Under 6 FREE<br />
Non-<strong>Porsche</strong>s are allowed except in run group A<br />
First Driver Name<br />
Year/Car Make/ Model/ Permanent Car Number<br />
www.pca-chicago.org 39 August 20<strong>03</strong><br />
Phone<br />
E-mail<br />
[ ] Member [ ] Applicant [ ] Guest <strong>of</strong>: _______________________<br />
Class: (circle applicable) [Instr] [A] [B1] [B2] [C]<br />
Prior Experience:<br />
Second Driver Name<br />
Year/Car Make/ Model/ Permanent Car Number<br />
Phone<br />
E-mail<br />
[ ] Member [ ] Applicant [ ] Guest <strong>of</strong>: _______________________<br />
Class: (circle applicable) [Instr] [A] [B1] [B2] [C]<br />
Prior Experience:<br />
Make check to PCA- <strong>Chicago</strong> <strong>Region</strong> and Mail to:<br />
Peggy Gallagher 7<strong>08</strong>-784-0784<br />
11156 Indian woods Drive<br />
Indian Head Park, IL 60525
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