WallaWallaCruisers.com

Walla Walla Cruisers Entry Form
	This form will be electronically filed with the club. Upon pressing the Join Club button, you will receive a page that has your information, please print a copy of this form for your records. Please send a check for $20 made payable to: Walla Walla Cruisers P.O. Box 1383 Walla Walla, WA. 99362

Your Information:
	Name(s):
	Address:
	City:
	State / Zip:	/
	Phone #:
	Email Address:

First Vehicle Information:
	Year:
	Make:
	Model:

Second Vehicle Information:
	Year:
	Make:
	Model:

Third Vehicle Information:
	Year:
	Make:
	Model:
		Please note that all validation codes are numbers.

Please send a check for $20 made payable to:
Walla Walla Cruisers
P.O. Box 1383
Walla Walla, WA. 99362