airgate

PRINT THIS PAGE by CLICKING on this LINK:

Click Me - PRINTER FRIENDLY REGISTRATION
Simply print, then write your required information legibly, thanks!

Please print this page by following the instructions above (DO NOT "cut and paste") and complete the required information. PLEASE PRINT CLEARLY and LEGIBLY.
All spaces on the form MUST be completed or your registration will be returned.

Once your registration form is complete, mail it along with a check or money order (sorry, no PayPal) payable to Honda S2000 Club/Carolina Region for the amount of YOUR registration and send to:

Raul Alvarez
Attn: Wake the Dragon 3
126 Little Lake Circle
New Bern, NC 28560

Any questions about this event?
ralvarez2@cox.net - Home Email
252-349-9680 - Wireless

The Registration Fee for the 3rd Annual "Wake the Dragon" is $65 for a Driver/Owner and an additional $40 for a Passenger/Guest.

REGISTRATION for this event ENDS on April 18th, 2005.
Partial Refunds only before April 18th, 2005.

Please print this page by following the instructions above (DO NOT "cut and paste") and complete the required information. PLEASE PRINT CLEARLY and LEGIBLY.
All spaces on the form MUST be completed or your registration will be returned.

Driver/Owner Information

• First and Last Name
  
• s2ki.com Screen Name
  
• Street Address
  
• City/Town
  
• State/Zip
  
• Contact Number
  
• Email Address
  
• Your T-Shirt (this is included with your registration fee). Size? (only M-XXL available)
  
• Emergency Contact Info (Name and Number)

Passenger/Guest Information

• First and Last Name
  
• s2ki.com Screen Name (if applicable)
  
• Extra t-shirt (Please include an additional $15 to your total). Size? (only M-XXL available)

Information on Your S2000

• S2000 Color (EXTERIOR/INTERIOR)
  
• Model Year