REGISTRATION FORM MUST BE MAILED TO:
BACK TO THE 50'S WEEKEND
2206 EAST WASHINGTON STREET
NEW CASTLE, PA 16101
PHONE: 724-654-8085 FAX: 724-654-8033
NAME
ADDRESS
CITY
STATE
ZIP
PHONE
VEHICLE
WEEKEND PACKAGE REGISTRATION
$35.00 PRE-REGISTER BEFORE MAY 30, 2008
$40.00 REGISTER AFTER MAY 30, 2008
INCLUDES TWO (2) ARMBANDS FOR DRIVER AND ONE (1) PASSENGER
DAILY CAR REGISTRATION
$20.00 PRE-REGISTER BEFORE MAY 30, 2008
$25.00 REGISTRATION AFTER MAY 30, 2008
INCLUDES TWO (2) ARMBANDS FOR DRIVER AND ONE (1) PASSENGER
ADITIONAL ARMBANDS CAN BE PURCHASED FOR ONLY $12.00 EACH