ENTRY FORM

20th Annual South Central Indiana Corvette Club Car Show

Saturday, August 11, 2012

Name:  _____________________________  Club: ___________________________

Address:_______________________________________________________

City/State/Zip Code: _____________________________________________

Phone Number: ________________  E-mail: _________________________

Year & Color of your Corvette: ______  _________

Pre-Registration prior to July 1st, 2012 is $20  Free t-shirt included  Your size: ______

Registration day of show is $20.   ALL spectators are welcome with NO charge.

Mail Entry Form To:       SCICC                             

                                824 South 500 West

                                 Shelbyville, IN 46176