airgate

PRINT THIS PAGE AS YOUR REGISTRATION!

Print and complete the Registration From below and mail it along with a check or money order (sorry, no PayPal).

Make payable to Honda S2000 Club/Carolina Region for the registration fee and mail to:


Raul Alvarez
Attn: DragonBall Run
126 Little Lake Circle
New Bern, NC 28560

252-349-9680 Wireless

The Registration Fee for the 4th Annual DragonBall Run is $50 for a Driver/Owner and an additional $30 for a Passenger/Guest.

REGISTRATION for this event ENDS on September 1st, 2004!

PARTIAL REFUNDS ONLY BEFORE September 8th, 2004!

Please print this page (or feel free to "cut and paste") and complete the required information.

If you choose to write the information, PLEASE PRINT CLEARLY.

Driver/Owner Information

• First and Last Name
  
  
• s2ki.com Screen Name
  
  
• Street Address
  
  
• City/Town
  
  
• State/Zip
  
  
• Contact Number
  
  
• Email Address
  
  
• Your T-Shirt (included with registration fee). Size?

Passenger/Guest Information

• First and Last Name
  
  
• s2ki.com Screen Name (if applicable)
  
  
• Extra t-shirt ($15 additional to registration). Size?

Information on Your S2000

• S2000 Color (EXTERIOR/INTERIOR)
  
  
• Model Year