Ontario Mopar Day

Western Ontario Mopar Owners
14th Annual

Saturday, June 20th, 1998, at London Motorsports Park, Sparta, Ontario.

Gates open at 8:00am

Participant Draw for $250.00 worth of gift certificates donated by: N.O.S. Reproductions

Quick 8 :

Conditions

For more information...

Call: (519) 762-3561
(519) 764-2335
(519) 424-9717
(519) 842-4492
Or write to: WOMO Car Club Inc.
R.R. #3
Iona Station, Ontario
N0L 1P0

To pre-register (suggested, but not required), please print out, fill out, and mail this form to the above address. Make cheques payable to WOMO Car Club Inc. Pre-registrations must be postmarked by June 1st, 1998.

Name :

Address :

City :

Postal Code :

Phone(s) (xxx-xxx-xxxx) :

Car :

Please specify choice, and include payment :

O  All participant vehicles, Race or Race and Show  --  $35.00
O  Show Only  --  $20.00
O  Vendors  --  $30.00

Management reserves the right to restrict/evict entrants according to conduct deemed objectionable to the well-being of others, at discretion. In consideration of acceptance of right to participate, entrants, participants and spectators, by execution of entry form, release and discharge WESTERN ONTARIO MOPAR OWNERS (WOMO Car Club Inc.) and any person or agent in service thereof, from any and all damages, injuries, losses, judgements and or claims from any cause whatsoever that may be suffered by any entrant, participant or spectator to his/her person, property or reputation.

Date : ________________________   Signature : __________________________________________