CENTRAL STATES ASSOCIATION OF SHRINE MOTOR CORPS
COMPETITION REGISTRATION

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All Units and Clubs in Competition must register with the Secretary no later than August 13, 2007.  Registration may be made by mail or fax.  A return reply will be sent confirming your registration.  Competition Classes are listed HERE

Mail forms to:

Bradley Waite Sec-Treas. C.S.A.S.M.C.
926 South 41st Street
Omaha, NE 68105  or fax to (402) 346-9509

UNIT OR CLUB_____________________________________________________

COMPETITIVE DRILL CLASS________________________________________

OBSTACLE COURSE CLASS_________________________________________

SHOW CAR

                                                                    No. of Vehicles
ANTIQUE CARS                                  ________________

COMMERCIAL                                    ________________

SPECIAL INTEREST                           ________________

MODIFIED                                            ________________

MUSTANGS                                          ________________

CONVERTIBLES                                 ________________

SPORTS CARS                                     ________________

MOTORCYCLES (Show Only)           ________________

Return reply to: ____________________________________
                          ____________________________________

Return reply fax number ____________________________

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